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焦虑,抑郁和血液动力学变化在办公室喉手术中的相关性
Abdul-Latif Hamdan1, Lana Ghzayel1, Patrick Abou Raji Feghali1
1Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
The Laryngoscope
|October 17, 2024
概括
这项研究发现,在办公室内喉手术 (OBLS) 期间出现了显著的血液动力学变化,包括血压和心率的增加. 然而,在接受OBLS的患者中,焦虑和抑郁都与这些生命体征变化无关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 心血管生理学心血管生理学
- 麻醉学 麻醉学
背景情况:
- 基于办公室的喉手术 (OBLS) 越来越常见.
- 在OBLS期间血液动力学稳定对于患者的安全至关重要.
- 在OBLS期间,心理因素如焦虑和抑郁对血液动力学反应的影响尚不清楚.
研究的目的:
- 在OBLS期间调查焦虑,抑郁和血液动力学变化之间的相关性.
- 在接受OBLS的患者中确定血液动力学不稳定的潜在心理预测因素.
主要方法:
- 一项前性研究包括了45名接受OBLS的患者.
- 在5分钟的间隔内监测生命体征 (静心血压,静心血压,心率,O2和).
- 焦虑和抑郁症的严重程度分别使用通用焦虑障碍尺度-7 (GAD-7) 和患者健康问卷-9 (PHQ-9) 进行评估.
主要成果:
- 观察到压缩性血压 (30.16 mmHg),压缩性血压 (31.44 mmHg) 和心率 (14.2 bpm) 的显著增加.
- 还注意到平均O2和率 (0.4%) 的显著下降.
- 焦虑或抑郁程度与静缩血压,静缩血压,心率或O2和度的变化之间没有显著的相关性.
结论:
- 接受OBLS治疗的患者经历了显著的血液动力学变化,包括高血压,心动减速和氧和降低.
- 焦虑和抑郁似乎与OBLS期间观察到的这些血液动力学变化无关.
- 需要进一步的研究来阐明OBLS中血液动力学不稳定的原因.
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