焦虑状态对重度环状混合痔术后创面愈合及疼痛的影响

Impact of Anxiety Emotion on Wound-surface Healing and Pain Degree after Surgery for Severe Circumferential Mixed Hemorrhoids

为探讨焦虑状态对重度环状混合痔患者术后创面愈合及创口疼痛的影响，从而改善患者预后。入院时根据汉密尔顿焦虑量表（HAMA）评分将123例重度环状混合痔患者分为焦虑状态组64例和非焦虑状态组59例。比较2组患者术后创面愈合时间及术后第1、2、4、7天的疼痛情况。结果显示，焦虑状态组患者环状混合痔术后创面愈合时间均显著长于非焦虑状态组（P〈0．05）。2组患者术后第1、2、4、7天的疼痛程度水平均显著下降，但是焦虑状态组患者评分显著高于非焦虑抑状态组（P〈0．05）。结果表明，焦虑情绪的存在会导致痔术后创面愈合时间延迟，使疼痛一直处于较高程度，不利于患者病情的转归，建议在混合痔围手术期的治疗过程中给予心理干预措施。

In order to explore the impact of anxiety emotion on postoperative wound surface healing and pain degree of severe circumferential mixed hemorrhoids patients, so as to improve patient＇s prognosis, according to Hamilton Scales for Anxiety （HAMA） score ratings authors divided 123 cases of this hereof rhoids into anxiety situation group （group A, 64 cases） and non-anxiety situation group （group N, 59 cases） from the day they admitted in hospital, then compared pain degree of both groups＂ patients on the 1st, 2nd,4th and 7th day after surgery, as well postoperative wound-surface healing time. As results, the healing time of group A was significantly longer than that of group N （ P 〈0.05）, though both groups＂ pain degree was all significantly fallen but group A＇s score rating was greatly higher than group N＇s one （ P〈0.05）. Results show that being anxiety emotion will make healing time delayed, and make pain-feel at higher degree continuously, these factors go against condition to cure, therefore authors propose performing mental intervention on patients at perioperation of mixed hemorrhoids. Key Words Mixed hemorrhoid~ Surgery~ Wound-surface healing~ Pain~ Anxiety