在非小细胞肺癌手术患者中,麻醉前的焦虑和出现动荡之间的相关性
Fen Yan1, Li-Hua Yuan1, Xiao He1
1Department of Anesthesiology, Wuhan Pulmonary Hospital, Wuhan Institute for Tuberculosis Control, Wuhan 430000, Hubei Province, China.
World journal of psychiatry
|July 10, 2024
概括
在非小细胞肺癌 (NSCLC) 患者的麻醉前焦虑与手术后的出现激动 (EA) 有显著的相关性. 在麻醉诱导之前,较高的焦虑水平预测EA风险增加.
科学领域:
- 麻醉学 麻醉学
- 在瘤学瘤学.
- 心理学 心理学 心理学
背景情况:
- 手术前的焦虑是影响患者康复的常见问题.
- 突发动作 (Emergence agitation,EA) 是一种常见的麻醉并发症,影响患者的舒适度和住院时间.
- 麻醉前焦虑和EA之间的联系需要进一步调查.
研究的目的:
- 研究在进行激进手术的非小细胞肺癌 (NSCLC) 患者中,麻醉前焦虑和出现动荡 (EA) 之间的关系.
主要方法:
- 80名NSCLC患者使用医院焦虑和抑郁量表 (HADS-A) 在四个外科手术前的时间点评估了焦虑.
- 在手术后,使用Riker镇静-激发量表 (RSAS) 评估出现动荡 (EA).
- 部分相关性分析检查了HADS-A和RSAS分数之间的关联.
主要成果:
- 焦虑分数 (HADS-A) 从手术前访问到麻醉诱导之前逐渐增加.
- 33.75%的患者经历了出现激动 (EA) (RSAS评分≥5).
- 在EA患者中,在T3 (进入OR) 和T4 (诱导前) 观察到显著更高的焦虑水平,具有强烈的正相关性 (r=0.296,0.314).
结论:
- 在接受激进手术的NSCLC患者中,出现动荡 (EA) 与焦虑水平相关.
- 进入手术室和立即在麻醉诱导之前经历的焦虑特别与EA有关.
- 研究结果强调了管理麻醉前焦虑的重要性,以潜在地减轻EA.
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