摘要
目的探究腹腔镜胆囊切除患者术前焦虑对患者术后疼痛及其麻醉复苏的影响。方法100例腹腔镜胆囊切除患者,根据术前汉密尔顿焦虑量表(HAMA)评分不同分为实验组(HAMA评分≥7分)和对照组(HAMA评分<7分),每组50例。两组患者均给予术后镇痛治疗。对比两组患者的术后疼痛情况、麻醉复苏情况及麻醉药物用量。结果术后2、4、8、12、24 h,实验组患者疼痛评分分别为(3.3±1.0)、(3.4±0.6)、(3.2±0.8)、(3.0±0.4)、(2.0±0.8)分,均高于对照组的(2.8±1.1)、(2.5±1.0)、(2.1±0.7)、(2.3±0.5)、(1.5±1.0)分,差异具有统计学意义(P<0.05)。实验组患者麻醉复苏时间>9 min发生率为24.0%(12/50),高于对照组的4.0%(2/50),差异具有统计学意义(P<0.05)。术后6、12、24、48 h,实验组患者麻醉药物用量分别为(0.168±0.031)、(0.370±0.057)、(0.786±0.123)、(1.420±0.181)mg,均大于对照组的(0.101±0.020)、(0.233±0.040)、(0.522±0.108)、(0.907±0.167)mg,差异具有统计学意义(P<0.05)。结论对于腹腔镜胆囊切除患者,术前焦虑会加重患者术后疼痛症状,并且还会影响患者的麻醉复苏时间,增加麻醉药物用量。
Objective To investigate the effect of preoperative anxiety on postoperative pain and postoperative recovery after anesthesia in patients with laparoscopic cholecystectomy.Methods A total of 100 patients with laparoscopic cholecystectomy were divided into experimental group[Hamilton anxiety scale(HAMA)scores≥7 points]and control group(HAMA score<7 points)according to different preoperative HAMA scores,with 50 cases in each group.Both groups received postoperative analgesia.The postoperative pain,recovery after anesthesia and anesthetic dosage were compared between the two groups.Results 2,4,8,12,24 h after surgery,the pain score of the experimental group were(3.3±1.0),(3.4±0.6),(3.2±0.8),(3.0±0.4)and(2.0±0.8)points,which were all higher than those of the control group(2.8±1.1),(2.5±1.0),(2.1±0.7),(2.3±0.5)and(1.5±1.0)points,and the difference was statistically significant(P<0.05).The incidence of anesthesia recovery time>9 min of the experimental group was 24.0%(12/50),which was higher than that of the control group 4.0%(2/50),and the difference was statistically significant(P<0.05).6,12,24 and 48 h after surgery,anesthetic dosage of the experimental group were(0.168±0.031),(0.370±0.057),(0.786±0.123)and(1.420±0.181)mg,which were greater than those of the control group(0.101±0.020),(0.233±0.040),(0.522±0.108)and(0.907±0.167)mg,and the difference was statistically significant(P<0.05).Conclusion For patients with laparoscopic cholecystectomy,preoperative anxiety can aggravate postoperative pain symptoms,and also affect the patient’s anesthesia recovery time,increasing anesthetic dosage.
作者
郭继燕
GUO Ji-yan(Department of Anesthesia,Heze Municipal Hospital,Heze 274000,China)
出处
《中国现代药物应用》
2020年第18期29-31,共3页
Chinese Journal of Modern Drug Application
关键词
腹腔镜
胆囊切除
术前焦虑
术后疼痛
麻醉复苏
Laparoscopic
Cholecystectomy
Preoperative anxiety
Postoperative pain
Recovery after anesthesia
