摘要
目的:比较未确诊的乳腺良恶性肿瘤患者术前应激特征。方法:采用自编患者一般问卷、汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)对未确诊的乳腺良恶性肿瘤患者在手术前进行评定,根据病理切片结果分成乳腺癌组(n=36)和乳腺良性肿瘤组(n=22),并与正常对照组(n=36)进行比较。结果:乳腺癌组和良性肿瘤组患者术前焦虑(64%和55%)和抑郁状态的发生率(47%和18%)及HAMD(22.53±7.06和16.70±6.28)、HAMA总分(17.71±6.58和13.84±5.09)显著高于正常对照组(P均<0.01);乳腺癌组抑郁状态的发生率及HAMD,HAMA总分也显著高于良性肿瘤组(P均<0.01)。结论:未确诊的乳腺良恶性肿瘤患者在手术前存在较普遍的焦虑和抑郁情绪,以乳腺癌患者更为严重。
AIM:To compare the preoperative stress characters between patients with mamma ry malignant tumor and benign tumor before final diagnosis. METHODS:Patients with mammary malignant tumor and benign tumor before final d iagnosis were evaluated by the general questionnaire,Hamilton depression rating scale(HAMD) and the Hamilton anxiety rating scale (HAMA) before operation, they were divided into mammary cancer group(n=36) and benign tumor group(n=22) accord ing to the result of pathological section,and compared with the normal control g roup(n=36). RESULTS:The incidence of depression(64% ,55% ),anxiety(47% , 18% ),the sc ores of HAMD(22.53± 7.06,16.70± 6.28) and HAMA( 17.71± 6.58,13.84± 5.09) b efore operation in the mammary cancer group and benign tumor group were signific antly higher than those in the control group(P< 0.01).The incidence of depressio n and the scores of HAMA and HAMD scales in the mammary cancer group were signif icantly higher than those in the benign tumor group(P< 0.01). CONCLUSION:Preoperative anxiety and depression are very common in patients wi th mammary malignant tumor and benign tumor before final diagnosis,especially in those with mammary cancer.
出处
《中国临床康复》
CSCD
2004年第3期418-419,共2页
Chinese Journal of Clinical Rehabilitation
