鼻内镜患者术前焦虑与术后疼痛程度临床观察

Clinical observation of preoperative anxiety and postoperative pain after endoscopic sinus surgery

目的:探讨慢性鼻-鼻窦炎(CRS)伴或不伴息肉患者术前焦虑状态与鼻内镜术后疼痛的相关性。方法:对167例CRS行功能性内镜鼻窦手术(FESS)患者,术前发放状态-特质焦虑问卷(STAI),进行焦虑评分。记录术后8、32、56h时患者Wong-Banker面部表情量表(FPS-R)评分,统计术前的焦虑状态、术后的疼痛程度及其持续时间,并分析二者之间的相关性。结果:患者术前S-AI评分平均为42.45±9.98,T-AI评分为41.81±8.47。术后疼痛评分:8h时为6.33±1.74,32h时为4.21±1.51,56h时为2.35±1.42。术后8h无痛者0例,轻度疼痛者10例,中度疼痛者107例,重度疼痛者47例,剧痛者3例;术后32h无痛者9例,轻度疼痛者97例,中度疼痛者32例,重度疼痛者29例,无剧痛患者。至第56h时无痛者108例,轻度疼痛44例,中度疼痛15例。术前S-AI及T-AI评分与术后8、32、56h疼痛评分无明显相关性。结论:CRS伴或不伴息肉患者鼻内镜术后8h内疼痛最明显,随着时间的推移,疼痛程度逐渐减轻。患者术前焦虑与术后疼痛无明显相关性。

bjective：To investigate the correlation of preoperative anxiety and postoperative pain after endo- scopic sinus surgery in chronic rhinosinusitis （CRS） with or without nasal polyps （CRSwNP or CRSsNP）. Meth- od：Subjects were 167 adults scheduled for functional endoscopic sinus surgery（FESS）, in our hospital, preopera tive issuing State-Trait Anxiety Inventory（STAI）, carried anxiety scores. 8 h, 32 h, 56 b after surgery, recorded the pain score of Wong-Banker facial scale method （FPS-R）. Analysed the correlation between preoperative anxie- ty score and the degree of postoperative pain. Result： Patients＇preoperative S-AI mean score was 42.45 ±9.98, T-AI mean score was 41.81±8.47. The mean pain score in patients 8 h after surgery was 6.33±1.74,32 h was 4.21±1.51,56 h was 2.35±1.42. In the 8 h group postoperative pain were 0 cases with no pain, 10 cases of mild pain, moderate pain in 107 cases, 47 cases of severe pain, sharp pain in three cases. After 32 hours 9 cases with no pain, 97 cases of mild pain, moderate pain in 32 cases, 29 cases of severe pain, no sharp pain patients. 56 hours after surgery, there were 108 cases with no pain, mild pain in 44 cases, 15 cases of moderate pain. Preoper- ative S-AI and T-AI score and 8 h, 32 h, 56 h after surgery pain score had no significant correlation. Conclusion： The pain of patients within 8 h after FESS is most evident,with the passage of time, the degree of pain gradually reduced. Preoperative anxiety and postoperative pain have no significant correlation.