术前焦虑对运动和感觉阻断的持续时间和脊柱麻醉的有效性的影响
Yadigar Yılmaz1, Esra Durmayuksel2, Tuna Erturk1
1Sultan 2. Abdulhamid Han Education and Research Hospital Department of Anesthesiology and Reanimation, Istanbul 34668, Türkiye.
手术前的焦虑没有影响脊柱麻醉.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 疼痛管理 疼痛管理
背景情况:
- 手术前的焦虑是接受手术的患者常见的担忧.
- 脊柱麻醉经常用于下肢和腹部手术.
- 焦虑对麻醉阻断特征的影响需要进一步阐明.
研究的目的:
- 研究手术前焦虑水平与脊柱麻醉的发展和持续时间之间的关系.
- 评估焦虑对感官和运动阻塞发作和恢复时间的影响.
- 为了确定焦虑和不良事件,如胸肌梗塞和低血压之间的潜在关联.
主要方法:
- 九十名年龄在18-55岁之间的患者接受脊髓麻醉.
- 使用斯皮尔伯格状态-曲线焦虑清单 (STAI) 和视觉模拟量表 (VAS) 评估了手术前的焦虑.
- 感觉和运动阻塞的出现,运动阻塞的恢复和不良事件都被仔细记录下来.
主要成果:
- 在手术前焦虑评分 (VAS,STAI-1,STAI-2) 与感觉和运动阻塞的发作或持续时间之间没有发现统计学上显著的相关性.
- 与男性相比,女性患者的焦虑评分和阻断特征显著高于男性患者.
- 较高的焦虑分数 (VAS,STAI-1,STAI-2) 与心肌梗塞发病率 (14.4%) 的增加有关.
结论:
- 手术前的焦虑似乎不会影响脊髓麻醉后感觉和运动阻塞的开始或持续时间.
- 性别差异存在于焦虑水平和某些阻断参数.
- 焦虑可能是脊柱麻醉期间发生白心病的一个因素.
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