合并精神疾病患者剖宫产术麻醉优化与医患安全保障

合并精神疾病患者接受剖宫产术时，由于此类患者的特殊性，患者以及其家属、医务人员心理表现都有别于普通情况。合理遵守此类患者的如下麻醉方案优化原则：麻醉操作可以实施原则、麻醉效能有效控制原则、避免诱发或加重精神疾病原则、患者无痛和新生儿安全原则、术后镇痛衔接原则、全程心理干预原则和替代麻醉预案制定原则，同时科学制定患者围术期如下管理规章制度：应急程序的及时启动、患者家属及监护人的沟通与知情同意、麻醉前后特定病房或医疗单位的建立和麻醉医疗期间医患合法权益的保障，只有这样医患双方安危和权益才能得到最佳保障。

Anesthesia Optimization and Physician-patient Safety for Cesarean Section in Patients with Mental Illness

When patients with mental illness received cesarean section ,because of the specificity of those patients , the psychological performance of the patients ,relations and related medical staff were significantly different from what they did during normal situation .In order to guarantee the physician-patient safety and equity ,the following optimization principles of anesthesia schemes for patients should be obeyed reasonably ：anesthesia operation implemented principle ,anesthetic efficacy effectively controlled principle , avoid induce or aggravate mental illness principle , patients with painless and neonatal safety principle ,postoperative analgesia cohesive principle ,psychological intervention principle ,and replace for the anesthetic plan formulation principle ,and the relevant management rules and regulations below for those patients during perioperative period should be formulated scientifically ：starting the emergency procedures timely ,communication and informed consent of patients ＆#39; families and guardian ,a specific ward or medical units established before and after anesthesia .Only in this way can guarantee the legitimate rights and interests for doctors and patients during anesthesia .