手术前患者焦虑对选择性剖腹产期间脊柱后的影响:一项前性观察性研究
1Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
International journal of obstetric anesthesia
|November 4, 2024
概括
高度的手术前焦虑和年轻的年龄增加了在剖腹产期间脊髓麻醉后的风险. 减少患者的焦虑可能会减少发的发生率.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 心理神经免疫学 心理神经免疫学
背景情况:
- 在剖腹产 (CD) 期间的脊柱后麻醉是常见的,通常归因于温度调节.
- 手术前的焦虑可能会通过自主变化影响温度调节中心,可能会影响.
- 这项研究调查了在产科患者中术前焦虑和脊柱后之间的联系.
研究的目的:
- 探索手术前焦虑和脊柱后的发生率和严重程度之间的关系.
- 确定在脊柱麻醉下进行选择性剖腹产的患者中脊柱后的独立风险因素.
主要方法:
- 一项前性观察性研究,招募了150名18岁以上的患者,计划在脊髓麻醉下接受选择性CD.
- 使用视觉模拟量表 (VAS) 和阿姆斯特丹手术前焦虑和信息量表 (APAIS) 评估手术前焦虑.
- 焦虑得分与脊柱后发病率之间的相关性分析;用于风险因素识别的逻辑回归.
主要成果:
- 46% (31%) 的参与者经历了脊柱后.
- 高的APAIS焦虑分数与2.76倍增加的手术期间发的风险相关 (P=0.0005).
- 独立的风险因素包括年轻年龄 (aOR 0.91),较高的APAIS得分 (aOR 1.21) 和较高的VAS得分 (aOR 1.48).
结论:
- 高度的手术前焦虑和较年轻的患者年龄是选择性CD期间脊柱后的重要独立风险因素.
- 旨在减少手术前焦虑的干预措施可以有效地减少这一群体中脊柱后的发生率.
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