电视胸腔镜手术对肺癌患者术后心理应激反应及认知功能的影响

Effects of video-assisted thoracoscopic surgery on postoperative psychological stress response and cognitive function in patients with lung cancer

目的探讨电视胸腔镜手术(VATS)对肺癌患者术后心理应激反应及认知功能的影响。方法纳入2018年3月~2019年3月期间我院接诊的83例肺癌患者作为本次研究对象,掷币法将其分为两组,对照组41例患者接受胸腔镜辅助小切口手术治疗(VAMT),观察组42例患者接受VATS治疗,比较两组患者手术情况(手术时间、术中出血量、术中引流量)、心理应激反应指标(焦虑、抑郁评分)及认知功能评分。结果观察组手术时间、术中出血量、住院时间及VAS评分均低于对照组(P<0.05);MMSE评分高于对照组,HAMA评分及HAMD评分低于对照组,差异显著(P<0.05)。结论VATS其在手术创伤、术中出血量、疼痛程度等方面优于VAMT,VATS能够减轻术后肺癌患者心理应激反应,减少焦虑、抑郁情绪的发生,减轻患者术后认知功能障碍程度。

Objective To investigate the effect of video-assisted thoracoscopic surgery(VATS)on postoperative psychological stress and cognitive function in patients with lung cancer.Methods A total of 83 patients with lung cancer admitted to our hospital from March 2018 to March 2019 were included in this study.The coin toss method was used to divide them into two groups.The control group of 41 patients underwent thoracoscopic assisted small incision surgery(VAMT),42 patients in the observation group received VATS treatment,and compared the operation status(operation time,intraoperative blood loss,intraoperative drainage volume),psychological stress response indicators(anxiety,depression score)and cognitive function score of the two groups of patients.Results The operation time,intraoperative blood loss,hospitalization time and VAS score of the observation group were lower than those of the control group(P<0.05).MMSE score was higher than the control group,HAMA score and HAMD score were lower than the control group(P<0.05).Conclusion VATS is superior to VAMT in surgical trauma,intraoperative blood loss,pain,etc.VATS can reduce the psychological stress response of postoperative lung cancer patients,reduce the occurrence of anxiety and depression,and reduce the degree of postoperative cognitive dysfunction.