摘要
目的 探讨肝胆外科择期手术患者术后疼痛及其影响因素.方法 采用一般资料调查表、状态-特质焦虑问卷（STAI）、疼痛视觉模拟量表（VAS）、领悟社会支持量表（PSSS）、艾森克人格问卷（EPQ）对120例肝胆外科择期手术的患者于术前及术后1周内测评.结果 患者术后2h疼痛水平最高（7.21±1.37）分,随着术后时间的延长而逐渐降低,但72h时仍处于中度水平（4.41±1.79）分.患者术前的状态焦虑（S-AI）平均得分高于常模（P＜0.01）;术前S-AI对患者术后（2～48 h）的疼痛有影响;术前S-AI与术后VAS（2h,12 h,24h,48h,72h）呈正相关（r=0.301,0.387,0.416,0.227,0.230）.精神质人格特征对患者术后（12h,24h）的疼痛有影响;精神质维度与术后VAS（12h、1周）呈正相关（r=0.399、0.297）.镇痛方法对患者术后（2h,48h）的疼痛有影响.PCIA组在术后2h、12h的疼痛分值低于对照组（P＜0.05、P＜0.01）.社会支持对患者术后（48h）的疼痛有影响;PSSS得分与术后VAS（48 h、72h、1周）呈负相关（r=-0.160、-0.241、-0.276）.年龄对患者术后（12h）的疼痛有影响;职业对患者术后（48 h）的疼痛有影响.结论 术前S-AI、精神质人格特征、不同镇痛方法、领悟社会支持、年龄、职业、手术时间对术后疼痛有影响.
Objective To investigate the pain level and its influential factors in patients after operation of hepatobiliary surgery. Methods 120 patients were evaluated with the demographic data, State Trait Anxiety Inventory Form （STAI） , Visual Analogue Scale （VAS） , Perceived Social Support Scale （PSSS） and Eysenck Personality Questionnaire （EPQ）. Results The highest pain level was within 2h in patients after the operation,then decreased gradually,but its still in the moderate level until 72h after the operation;the pain scores of the PCIA group were lower than the control group （ 2h, 12h after the operation） （P 〈 0.05, （P 〈 0. 01 ）. The preoperative state anxiety （S-AI） scores were higher than the norm （P〈0. 01 ）. The psychoticism Personality characteristics influents the postoperative pain （ 12h,24h after the operation）; there were positively correlations between P and VAS （12h, 1week after the operation）. The analgesia methods influent the postoperative pain（2h,48h after the operation）. The S-AI influents the postoperative pain （2h-48h after the operation） ,there were positively correlations between S-AI and VAS （2 ～ 72h after the operation）. The social support influents the postoperative pain （48h after the operation）; there were negatively correlations between PSSS score and VAS （48h ,72h and 1 week after the operation）. The age and occupation of the patients influent the postoperative pain. Conclusion There was serious pain in patients after operation of hepatobiliary. The preoperative S-AI ,the psychoticism personality characteristics, analgesic modalities, social support, age, occupation of patients are influential factors of pain in patients after abdominal operation.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2011年第4期336-338,共3页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
肝胆外科
术后疼痛
影响因素
Hepatobiliary surgery
Postoperative pain
Influential factors
