麻醉方式对慢性硬膜下血肿患者钻孔引流术后焦虑抑郁情绪的影响

Effect of anesthesia on anxious depression emotion in the patients undergoing drilling and drainage of chronic subdural hematoma: local anesthesia versus general anesthesia

目的探讨麻醉方式对慢性硬膜下血肿患者钻孔引流术后焦虑抑郁情绪的影响。方法根据手术时采用的麻醉方法,将68例慢性硬膜下血肿患者随机分为两组,局麻组(34例)和全麻组(34例),前者在局麻下行钻孔引流术,后者在全麻下行钻孔引流术。分别用焦虑自评量表(SAS)、抑郁自评量表(SDS)两组患者对术前1 d和术后3 d SAS评分、SDS评分进行评估。结果术前1 d,两组SAH评分和SDS评分均无明显差异(P>0.05);术后3 d,局麻组SAH评分和SDS评分均明显高于全麻组(P<0.01)。结论局麻下行钻孔引流术治疗慢性硬膜下血肿会使患者产生明显的焦虑抑郁情绪,临床建议尽量在全麻下手术。

Objective To study the changes in the emotions of the patients with chronic subdural hematomas （CSH） undergoing drilling drainage under the local anesthesia and general anesthesia. Methods Sixty-eight patients with CSH were randomly divided into two groups, i.e., control group （n=34） in which the drilling and drainage of CSH were performed under the local anesthesia, and observed group （n=34） in which the drilling and drainage of CSH was performed under the general anesthesia. The emotions in all the patients were assessed by Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale （SDS） 1 day before the operation and 3 days after the operation. Result The scores of SAS and SDS were significantly higher in the control group than in the observed group 3 days after the operation （P〈0.05）. Conclusion The anxious depression emotion more easily occurred in the patients with CSH undergoing the drilling and drainage of CSH under the local anesthesia compared to that in the patients with CSH undergoing the drilling and drainage of CSH under the general anesthesia.