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目的:探讨术前焦虑水平对甲状腺手术患者术后康复的影响。方法:回顾性分析于2013年2月-2016年9月于我院行甲状腺切除手术的患者共257例,根据患者术前是否存在焦虑分为焦虑组和非焦虑组,比较两组患者的术后疼痛VAS评分、下床活动时间、术后住院天数和术后并发症。结果:焦虑组患者术前的SAS评分为(58.5±6.2),非焦虑组为(36.7±8.3),两组比较差异具有统计学意义(t=20.192,P<0.01),两组患者术后24h疼痛评分非焦虑组评分显著低于焦虑组,差异具有统计学意义(t=5.103,P<0.01),术后3d和7d,非焦虑组疼痛评分均显著低于焦虑组(t=7.615,12.401;P<0.01),其中焦虑组患者术后下地时间为(24.3±4.1)h,非焦虑组为(19.1±3.2)h,焦虑组显著高于非焦虑组,差异具有统计学意义(t=10.776,P<0.01),非焦虑组患者的术后住院天数显著少于焦虑组(t=6.648,P<0.01),焦虑组患者术后的并发症显著高于非焦虑组,差异具有统计学意义(χ~2=6.336,P=0.012)。结论:术前有焦虑状态的甲状腺手术患者术后疼痛和术后的康复,其并发症发生率显著增高。
Objective: To investigate the effect of preoperative anxiety on postoperative recovery in patients with thyroid surgery. Methods: A total of 257 patients underwent thyroidectomy in our hospital from February 2013 to September 2016 were retrospectively analyzed. According to whether there was anxiety before surgery, the patients were divided into anxiety group and non-anxiety group. The patients in both groups were compared Post-pain VAS score, ambulation time, postoperative hospital stay and postoperative complications. Results: The preoperative SAS score was (58.5 ± 6.2) in anxiety group and (36.7 ± 8.3) in non-anxiety group, the difference was statistically significant (t = 20.192, P <0.01) The score of non-anxiety group was significantly lower than that of anxiety group at 24h (t = 5.103, P <0.01), and the score of non-anxiety group was significantly lower than that of anxiety group at 3d and 7d after operation (t = 7.615, 12.401; P <0.01). The anxiety group was (24.3 ± 4.1) h after surgery and (19.1 ± 3.2) h in non-anxiety group, and the anxiety group was significantly higher than the non-anxiety group (t = 10.776, P <0.01). The postoperative hospital stay in non-anxiety group was significantly less than that in anxiety group (t = 6.648, P <0.01). The postoperative complications in anxiety group were significantly higher than those in non-anxiety group Significance (χ ~ 2 = 6.336, P = 0.012). Conclusions: Postoperative pain and postoperative recovery of patients with anxiety thyroid surgery before operation have a significantly increased complication rate.