慢性化脓性中耳炎术前焦虑与术后疼痛的关系研究

Study on the relationship between preoperative anxiety and postoperative pain in chronic suppurative otitis media

目的探讨慢性化脓性中耳炎(CSOM)患者术前焦虑与术后疼痛现状及二者的相关性。方法选取该院185例行手术治疗的CSOM患者,术前发放焦虑自评量表(SAS)进行焦虑评分。利用Wong-Banker面部表情量表(FPS-R)评分分别于术后1、2、3、5、7 d进行疼痛评分并记录,对术前的焦虑、术后疼痛评分进行统计并分析二者之间的相关性。结果患者术前SAS评分为(58.64±6.78)分。术后1 d FPS-R评分为(6.88±1.12)分,术后2 d为(6.28±1.54)分,术后3 d为(4.74±1.09)分,术后5 d为(2.38±1.45)分,术后7 d为(2.28±1.64)分;术前SAS评分与术后FPS-R评分无明显相关性(P<0.05)。结论CSOM患者存在焦虑状态,术后1 d内疼痛最明显,随着时间的推移疼痛程度逐渐减轻,至术后5 d时疼痛明显减轻,术前焦虑与术后疼痛无明显相关性。

Objective To investigate the status of preoperative anxiety and postoperative pain in patients with chronic suppurative otitis media(CSOM)and their correlation.Methods A total of 185 patients with CSOM who underwent surgical treatment in this hospital were selected as the research objects,and the Self-Rating Anxiety Scale(SAS)was issued before surgery to assessment anxiety.Wong-Banker Facial Expression Scale(FPS-R)was used to score and record the pain on 1,2,3,5,and 7 days after surgery.The preoperative anxiety and postoperative pain scores were statistically analyzed,and the correlation between them was also analyzed.Results The preoperative SAS score of the patient was(58.64±6.78)points.The FPS-R score was(6.88±1.12)points on 1 day after operation,(6.28±1.54)points on 2 days after operation,(4.74±1.09)points on 3 days after operation,(2.38±1.45)points on 5 days after operation,and(2.28±1.64)points on 7 days after operation.There was no significant correlation between preoperative SAS score with postoperative FPS-R score(P<0.05).Conclusion Patients with CSOM have a state of anxiety.The pain is the most obvious within 1 day after the operation,and gradually decreases with the passage of time,and the pain is significantly reduced on 5 days after the operation.There is no obvious correlation between preoperative anxiety and postoperative pain.