脏活检中的手术前焦虑:关于患病率,危险因素和生理相关性的前性研究
Kittiphan Chienwichai1, Sirin Jiwakanon1, Kamonrat Chaiviriyawong1
1Division of Nephrology, Department of Internal Medicine, Hatyai Hospital, Songkhla 90110, Thailand.
Journal of clinical medicine
|January 28, 2026
概括
在脏活检患者中,手术前的焦虑是常见的,影响超过一半的患者. 虽然不影响血液动力学,但焦虑与较高的肌素和先前的活检有关,这表明需要有针对性的支持.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 精神病体医学是一种精神病体医学.
背景情况:
- 在侵袭性手术中承认了手术前的焦虑,但皮肤活检的数据有限.
- 了解焦虑的患病率和影响对于脏活检期间的患者护理至关重要.
研究的目的:
- 为了确定在接受皮肤脏活检的患者中程序前焦虑的患病率.
- 评估焦虑和周围程序血液动力学参数之间的关联.
- 为了确定预测高焦虑水平的因素.
主要方法:
- 一项前性观察性研究,涉及151名预定进行皮肤活检的成年患者.
- 使用泰国国家-海峡焦虑清单Y1 (STAI-Y1) 24小时前程序评估焦虑.
- 在基线和术前监测的血液动力学参数 (血压,脉率);使用混合效应模型和后勤回归的统计分析.
主要成果:
- 在55%的患者中发现了临床显著的焦虑 (STAI-Y1 ≥40);43.4%的人报告了非常高的焦虑.
- 焦虑与血压或脉率的变化没有独立相关.
- 较高的血清肌素和先前脏活检的病史独立地与焦虑有关.
结论:
- 在接受脏活检的患者中,程序前的焦虑非常普遍.
- 在这个人群中,焦虑不会独立地影响手术周边的血液动力学参数.
- 建议针对高风险患者进行有针对性的查和干预.
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