手术前的等待时间是否会影响焦虑和止痛药需求? 一个前性的观察性研究
1Department of Anesthesiology and Reanimation, Istinye University, Istanbul, Türkiye. drerkanbayram@gmail.com.
Irish journal of medical science
|October 7, 2025
概括
长时间的术前等待时间增加了患者的焦虑和 postoperative 疼痛缓解的需要. 优化手术时间表可以改善患者的舒适度和恢复.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 手术患者的治疗结果
背景情况:
- 手术前的焦虑会对麻醉,血液动力学和恢复产生负面影响.
- 手术前等待时间对焦虑和结果的影响还未得到充分研究.
研究的目的:
- 评估等待时间和术后焦虑之间的联系.
- 评估对血液动力学反应的影响,手术期间使用阿片类药物和术后疼痛需求.
主要方法:
- 对130名接受选择性手术的成年人进行前性观察研究 (ASA I-II).
- 在等待之前和之后测量焦虑 (APAIS),血压和心率.
- 与手术内阿片类药物和术后止痛药消费相关的等待时间.
主要成果:
- 较长的等待时间与更高的焦虑 (APAIS分数) 和术后增加的特拉马多尔使用相关.
- 等待时间与手术前的缩血压相反相关.
- 没有发现与手术内阿片类药物剂量有显著的关联.
结论:
- 手术前的等待时间是影响焦虑和疼痛管理的可修改因素.
- 减少等待时间可以提高患者的舒适性,稳定性,并减少止痛药的需求.
- 个性化的术后规划是尽量减少延迟的关键.
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