择期腹腔镜卵巢囊肿剥除术患者术前焦虑对麻醉苏醒及术后镇痛的影响

Effects of Preoperative Anxiety on the Recovery of Anesthesia and Postoperative Analgesia in Patients undergoing Elective Laparoscopic Ovarian Cystectomy

目的探讨择期行择期腹腔镜卵巢囊肿剥除术患者术前焦虑对麻醉苏醒及术后镇痛的影响.方法选取2015年7月至2016年6月期间,住院择期行腹腔镜卵巢囊肿剥除术符合条件患者共87名,使用STAI-1评估患者焦虑水平,并根据STAI-1结果分为高焦虑组(H组)与低焦虑组(L组),观察2组患者麻醉苏醒及术后镇痛情况.结果高焦虑状态患者较低焦虑者苏醒期明显延长、苏醒期躁动发生率高、术后镇痛药物需求量较大,差异有统计学意义(P<0.05);2组患者年龄、BMI、手术时间、麻醉时间相比均无统计学意义(P>0.05).结论择期行择期腹腔镜卵巢囊肿剥除术患者术前焦虑会使患者麻醉苏醒期延长,术后镇痛药物需求增加.

Objective To investigate the effects of preoperative anxiety on the recovery of anesthesia andpostoperative analgesia in patients undergoing elective laparoscopic ovarian cystectomy.Methods A total of87patients were enrolled who were undergoing elective laparoscopic ovarian cystectomy during July2015to June2016.State-Trait Anxiety Inventory-1was administered to the patients:patients with anxiety were included in thehigh-anxiety group(Group H)and patients witouth anxiety were included in the low-anxiety group(Group L).We observed the recovery of anesthesia and postoperative analgesia of the patients in two groups.Results In groupH,the extubation time,the time for the Aldrete score to reach9,were significantly longer;more agitation werefound;and more fentanyl and parecoxib were needed.The difference was statistically significant(P<0.05).Theage,BMI,operation time,anesthesia time of the patients in the two groups had no statistically significantdifferences(P>0.05).Conclusion High anxiety has a negative effect on recovery from anesthesia and onpostoperative pain control in patients undergoing elective laparoscopic ovarian cystectomy.