摘要
目的:评价术前焦虑状态对腹式子宫次全切除术患者术后短期疼痛的影响。方法:拟行腹式子宫次全切除术患者185例,采用状态特质焦虑同卷(STAI)中状态焦虑问卷(SAI)评价患者术前的焦虑状态,根据SAI评分分为高度焦虑组(SAI评分≥45分,H组)和低度焦虑组(SAI评分<45分,L组)。记录两组子宫次全切除术后6、24、48 h的视觉模拟量表评分(VAS)。结果:H组患者89例,L组96例,两组术后6、24、48 h VAS评分比分别为8.78±2.13 vs 8.02±2.73(P<0.05)、7.39±2.54 vs 6.65±1.74(P<0.05)、3.38±1.76 vs 3.25±1.78(P<0.05)。结论:术前高度焦虑状态可加重腹式子宫次全切除术患者术后短期疼痛。
Objective： To evaluate the influence of preoperative anxiety on postoperative short-term pain inabdominal subtotal hysterectomy patients. Methods： One hundred and eighty-five patients scheduled for abdominal subtotal hysterectomy surgery were enrolled in this study. According to the State-Trait Anxiety Inven-tory （STAI） scores, the patients were divided into 2 groups： high anxiety group （SAI scores ≥ 45, Group H） and low anxiety group （SAI scores〈45, Group L）. Visual analog scale score （VAS） of the two groups were recorded 6,24, 48 h after surgery. Results： Eighty-nine cases with Group H and ninety-six with Group L were involved, and VAS scores were 7.32 ± 2.13 （Group H） vs 6.76 ± 2.73 （Group L） （P〈0.05）, 4.69 ± 2.54 （Group H） vs 3.95 ±1.74 （Group L） （P〈0.05）, 3.38 ± 1.76 （Group H） vs 3.25 ± 1.78 （Group L） （P〉0.05） respectively 6, 24, 48 h after surgery. Conclusion： Preoperative anxiety could aggravate the short-term pain of patients after abdominalsubtotal hysterectomy surgery.
出处
《温州医学院学报》
CAS
2013年第2期120-122,共3页
Journal of Wenzhou Medical College
关键词
妇科手术
子宫次全切除术
术前焦虑
疼痛
手术后
gynecological surgery
subtotal hysterectomy
preoperative anxiety
pain, postoperative
