中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2011年
4期
336-338
,共3页
肝胆外科%术后疼痛%影响因素
肝膽外科%術後疼痛%影響因素
간담외과%술후동통%영향인소
Hepatobiliary surgery%Postoperative pain%Influential factors
目的 探讨肝胆外科择期手术患者术后疼痛及其影响因素.方法 采用一般资料调查表、状态-特质焦虑问卷(STAI)、疼痛视觉模拟量表(VAS)、领悟社会支持量表(PSSS)、艾森克人格问卷(EPQ)对120例肝胆外科择期手术的患者于术前及术后1周内测评.结果 患者术后2h疼痛水平最高(7.21±1.37)分,随着术后时间的延长而逐渐降低,但72h时仍处于中度水平(4.41±1.79)分.患者术前的状态焦虑(S-AI)平均得分高于常模(P＜0.01);术前S-AI对患者术后(2～48 h)的疼痛有影响;术前S-AI与术后VAS(2h,12 h,24h,48h,72h)呈正相关(r=0.301,0.387,0.416,0.227,0.230).精神质人格特征对患者术后(12h,24h)的疼痛有影响;精神质维度与术后VAS(12h、1周)呈正相关(r=0.399、0.297).镇痛方法对患者术后(2h,48h)的疼痛有影响.PCIA组在术后2h、12h的疼痛分值低于对照组(P＜0.05、P＜0.01).社会支持对患者术后(48h)的疼痛有影响;PSSS得分与术后VAS(48 h、72h、1周)呈负相关(r=-0.160、-0.241、-0.276).年龄对患者术后(12h)的疼痛有影响;职业对患者术后(48 h)的疼痛有影响.结论 术前S-AI、精神质人格特征、不同镇痛方法、领悟社会支持、年龄、职业、手术时间对术后疼痛有影响.
目的 探討肝膽外科擇期手術患者術後疼痛及其影響因素.方法 採用一般資料調查錶、狀態-特質焦慮問捲(STAI)、疼痛視覺模擬量錶(VAS)、領悟社會支持量錶(PSSS)、艾森剋人格問捲(EPQ)對120例肝膽外科擇期手術的患者于術前及術後1週內測評.結果 患者術後2h疼痛水平最高(7.21±1.37)分,隨著術後時間的延長而逐漸降低,但72h時仍處于中度水平(4.41±1.79)分.患者術前的狀態焦慮(S-AI)平均得分高于常模(P＜0.01);術前S-AI對患者術後(2～48 h)的疼痛有影響;術前S-AI與術後VAS(2h,12 h,24h,48h,72h)呈正相關(r=0.301,0.387,0.416,0.227,0.230).精神質人格特徵對患者術後(12h,24h)的疼痛有影響;精神質維度與術後VAS(12h、1週)呈正相關(r=0.399、0.297).鎮痛方法對患者術後(2h,48h)的疼痛有影響.PCIA組在術後2h、12h的疼痛分值低于對照組(P＜0.05、P＜0.01).社會支持對患者術後(48h)的疼痛有影響;PSSS得分與術後VAS(48 h、72h、1週)呈負相關(r=-0.160、-0.241、-0.276).年齡對患者術後(12h)的疼痛有影響;職業對患者術後(48 h)的疼痛有影響.結論 術前S-AI、精神質人格特徵、不同鎮痛方法、領悟社會支持、年齡、職業、手術時間對術後疼痛有影響.
목적 탐토간담외과택기수술환자술후동통급기영향인소.방법 채용일반자료조사표、상태-특질초필문권(STAI)、동통시각모의량표(VAS)、령오사회지지량표(PSSS)、애삼극인격문권(EPQ)대120례간담외과택기수술적환자우술전급술후1주내측평.결과 환자술후2h동통수평최고(7.21±1.37)분,수착술후시간적연장이축점강저,단72h시잉처우중도수평(4.41±1.79)분.환자술전적상태초필(S-AI)평균득분고우상모(P＜0.01);술전S-AI대환자술후(2～48 h)적동통유영향;술전S-AI여술후VAS(2h,12 h,24h,48h,72h)정정상관(r=0.301,0.387,0.416,0.227,0.230).정신질인격특정대환자술후(12h,24h)적동통유영향;정신질유도여술후VAS(12h、1주)정정상관(r=0.399、0.297).진통방법대환자술후(2h,48h)적동통유영향.PCIA조재술후2h、12h적동통분치저우대조조(P＜0.05、P＜0.01).사회지지대환자술후(48h)적동통유영향;PSSS득분여술후VAS(48 h、72h、1주)정부상관(r=-0.160、-0.241、-0.276).년령대환자술후(12h)적동통유영향;직업대환자술후(48 h)적동통유영향.결론 술전S-AI、정신질인격특정、불동진통방법、령오사회지지、년령、직업、수술시간대술후동통유영향.
Objective To investigate the pain level and its influential factors in patients after operation of hepatobiliary surgery. Methods 120 patients were evaluated with the demographic data, State Trait Anxiety Inventory Form (STAI) , Visual Analogue Scale (VAS) , Perceived Social Support Scale (PSSS) and Eysenck Personality Questionnaire (EPQ). Results The highest pain level was within 2h in patients after the operation,then decreased gradually,but its still in the moderate level until 72h after the operation;the pain scores of the PCIA group were lower than the control group ( 2h, 12h after the operation) (P ＜ 0.05, (P ＜ 0. 01 ). The preoperative state anxiety (S-AI) scores were higher than the norm (P＜0. 01 ). The psychoticism Personality characteristics influents the postoperative pain ( 12h,24h after the operation); there were positively correlations between P and VAS (12h, 1week after the operation). The analgesia methods influent the postoperative pain(2h,48h after the operation). The S-AI influents the postoperative pain (2h-48h after the operation) ,there were positively correlations between S-AI and VAS (2 ～ 72h after the operation). The social support influents the postoperative pain (48h after the operation); there were negatively correlations between PSSS score and VAS (48h ,72h and 1 week after the operation). The age and occupation of the patients influent the postoperative pain. Conclusion There was serious pain in patients after operation of hepatobiliary. The preoperative S-AI ,the psychoticism personality characteristics, analgesic modalities, social support, age, occupation of patients are influential factors of pain in patients after abdominal operation.
