结直肠肿瘤患者术后焦虑评分同术后并发症的相关性

目的 了解结直肠肿瘤患者术后焦虑评分对术后并发症的影响.方法 前瞻性纳入2010年2月至5月四川大学华西医院胃肠外科中心结直肠外科专业组126名结直肠癌确诊患者,并根据焦虑评分分为3组,组间比较术后并发症发生率;评估分析患者术后焦虑的相关因素;探索术后焦虑评分同患者术后并发症发生率的临界评分值.结果 3组间术后并发症发生率有着明显不同(χ2＝17.904,P＜0.001),同时可能焦虑组(焦虑评分＜7～13分)术后并发症发生率低于无焦虑组(焦虑评分＜7分)(χ2＝11.027,P＝0.002)及焦虑组(焦虑评分>14)(χ2＝20.677,P＜0.001),无焦虑组及焦虑组差异无统计学意义(χ2＝1.636,P＝0.274);术后焦虑的主要危险因子有费用类型(P＝0.053),居住地(P＝0.018),内科合并症(P＝0.014),新辅助化疗(P＝0.053),DUKES分期(P＝0.009),术后普食天数(P＝0.001);而分析得术后焦虑评分的临界值为17分,术后焦虑评分>17分时患者术后并发症发病率较高(χ2＝12.538,P＝0.004).结论 结直肠癌患者术后焦虑评分同术后并发症的发生有着一定的相关性,焦虑评分高者更易发生术后并发症,但适度的焦虑患者术后并发症的发生率相对较低.

The Correlation between of Postoperative Anxiety Scale of Colorectal Cancer Patient and the Postoperative Complication

Objective To evaluate the influence of postoperative anxiety scales on postoperative complications of colorectal cancer by clinically using the Hamilton anxiety.Methods We prospectively enrolled 126 patients definitely diagnosed with colorectal cancer from February to May in 2010 at the Center of Gastrointestinal Surgery,West China Hospital,Sichuan University.By dividing them into three groups according to the anxiety scales,postoperative complication rates were compared between groups,relating postoperative anxiety factors were evaluated and clinical rating value between postoperative anxiety scale and postoperative complication incidence rate of patients was explored.Results There was a significant difference in the postoperative complication rates among the three groups(χ2=17.904,P<0.001),and the postoperative complication rate of potential anxiety group(anxiety score=7-13) was lower than non-anxiety group(anxiety score<7)(χ2=11.027,P=0.002)and anxiety group(anxiety score>14)(χ2=20.677,P<0.001).The difference between the anxiety group and the non-anxiety group had no statistical significance(χ2=1.636,P=0.274).The risk factors for postoperative anxiety were type of expense(P=0.053),resides(P=0.018),medical complication(P=0.014),neoadjuvant chemotherapy(P=0.053),the DUKE’s stage(P=0.009),the ordinary diet day after operation(P=0.001).After analyzing,the critical value was 17 point for anxiety score and the postoperative complication incidence in patients was higher when the post anxiety scale was over 17(χ2=12.538,P=0.004).Conclusions The postoperative anxiety scale of the colorectal patients has some corelations with the postoperative complicationincidence,and the ones with high score in anxiety scale are more likely to suffer from postoperative complications.However,the postoperative complication incidence is relatively low in moderate anxiety patients.