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手术前焦虑及其对手术结果的影响:系统性审查和元分析
Mohamed A Shebl1, Eman Toraih2,3,4, Menna Shebl5
1Faculty of Medicine, Cairo University, Kasr Al-Ainy, Cairo, Egypt.
Journal of clinical and translational science
|March 7, 2025
概括
手术前的焦虑严重影响了手术结果,增加了麻醉和止痛药的需要,并延长了康复时间. 常规查和干预对于更好的患者管理至关重要.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 心理学 心理学 心理学
背景情况:
- 手术前的焦虑影响到60-80%的手术患者,影响和管理策略不清楚.
- 它的流行需要更深入地了解它对手术结果的影响.
研究的目的:
- 综合关于手术前焦虑对手术结果的影响的证据.
- 分析对麻醉剂/止痛剂需求,妄想,恢复和疼痛的影响.
主要方法:
- 综合的文献搜索和元分析.
- 计算标准化平均差异 (SMD),相关性 (COR) 和赔率比率 (OR).
主要成果:
- 术前焦虑与更高的麻醉剂 (SMD=0.67) 和止痛剂 (SMD=0.89) 需求有关.
- 与成年人妄风险增加 (OR=1.90) 和恢复时间延长 (SMD=0.79对于阿尔德雷特得分,SMD=0.89对于输出管).
- 没有发现与术后疼痛有显著联系.
结论:
- 手术前的焦虑对手术结果有广泛的影响.
- 建议进行常规查和有针对性的干预措施.
- 需要进一步研究长期影响和干预措施.
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