摘要
目的:观察全胸腔镜下心脏体外循环手术较常规正中开胸手术对术后精神状态的影响。方法:比较全胸腔镜下(胸腔镜组)和正中切口开胸(正中开胸组)进行房间隔缺损修补术患者64例在术后止痛药服用率、语言评价量表(VRS)评分、汉密尔顿抑郁量表(HAMD)评分和汉密尔顿焦虑量表(HAMA)评分等方面的差异。结果:两组患者入院时在年龄、性别、文化程度等方面比较均无统计学差异。胸腔镜组术后服用止痛药服用率显著低于正中开胸组患者(22%vs.59%,P<0.05),胸腔镜组术后12 h和2 d VRS评分均显著低于正中开胸组,胸腔镜组术后HAMD和HAMA评分也显著低于正中开胸组(均P<0.05)。结论:全胸腔镜进行单纯房间隔缺损修补术较正中开胸手术患者术后疼痛发生率明显减少,且抑郁和焦虑负面情绪评分更低。
AIM： To compare the postoperative mental status in patients treated with cardiopulmonary bypass surgery by total thoracoscopy or by median sternotomy. METHODS： Differences in intake of painkillers,verbal rating scale（ VRS）,Hamilton Depression Scale（ HAMD） and Hamilton Anxiety Scale（ HAMA） were compared in patients with atrial septal defect who underwent atrial septal defect with total thoracoscopic surgery（ TTS） or median sternotomy（ MS）. RESULTS： Intake rate of painkillers in the TTS group was remarkably lower than that in the MS group（ 22 vs. 59%,P〈0. 05）. Grading of VRS 12 h and 2 d after surgery as well as the grades of HAMD and HAMA in the TTS group were markedly lower than those in the MS group（ P〈0. 05）. CONCLUSION： Atrial septal defect repair under total thoracoscopy produces less pain and results in less depression and anxiety.
出处
《心脏杂志》
CAS
2015年第2期213-215,共3页
Chinese Heart Journal
