全胸腔镜与开胸手术对心脏病患者心理卫生状况的影响

Effect of totally thoracoscopic surgery and median sternotomy on psychological status of patients

目的分析全电视胸腔镜（totally thoracoscopic surgery，TTS）与正中开胸（median sternotomy，MS）心脏手术对患者心理卫生状况的影响。方法选取2007年12月～2008年5月30例行rrlls下先天性心脏病畸形矫治术30例与同期行MS手术的患者33例。应用SCL-90症状白评量表对患者术后1周内心理卫生状况进行评定与分析。结果两组间在躯体化、抑郁、焦虑及饮食睡眠方面差异显著（P〈0．05）；接受TTS手术的患者术后1周内的心理状态明显好于MS组患者，性别、年龄、文化程度与患者术后心理卫生状况有相关性。结论微创手术对于女性、年龄较小及文化程度高的患者心理状况有积极影响。

AIM To compare the effect of totally thoracoscopic surgery （TTS） and median sternotomy （MS） on the psychologic status of patients with congenital heart diseases. METHODS Thirty TPS-treated patients and 33 MS-treated patients were studied from Dec 2007 to May 2008. Symptoms Checklist （SCL-90） was employed to all the patients and the psychological status of the patients one week after operation was analyzed and compared. RESULTS The levels of somatization, anxiety, depression, diet and sleep in patients from TTS group were significantly higher than those in patients from MA group. One week after operation, the psychological status of TTS-treated patients was significantly better than that of MS-treated patients. Gender, age and education were correlated with the psychological status of patients after operation. CONCLUSION 3TS has positive impact on the psychological status of the female, people of younger age and people of the higher education.