围术期抗焦虑治疗对术后疼痛的影响评价

目的观察抗焦虑干预对术后疼痛的影响。方法将入组的78例患者随机分为观察组和对照组,每组39例。对照组手术前后给予常规处理,观察组手术前后在给予常规处理的同时,与术前1d晚上和术后6h给予口服舒乐安定2mg~4mg。两组均于手术前1d和手术后48h内采用焦虑自评量表评估焦虑状况,采用疼痛程度视觉模拟评分法评定疼痛程度。结果术前两组焦虑自评量表和疼痛程度视觉模拟评分无显著性差异(P>0.05);术后两组焦虑自评量表和疼痛程度视觉模拟评分,以及疼痛次数和哌替啶用量比较差异有极显著性(P<0.01)。结论围手术期抗焦虑干预可减轻患者的疼痛程度和疼痛次数,减少术后哌替定用量。

Effects of perioperative anti-anxiety treatment on post-operation pain

Objective To observe the effects of anti-anxiety intervention on postoperation pain. Methods Seventy-eight patients were randomly divided into observing and control group( each n=39). The control group were given conventional treatment and the research group conventional treatment plus oral estazolam 2 mg~4 mg in the eve of operation and in the 6th hour after operation. Anxious states were assessed with the Self-rating Anxiety Scale(SAS) and pain degrees with the Visual Simulation for Pain Degree(VSPD) in the day before operation and within 48 hours after operation. Results Before operation, there were no significant differences in the scores of the SAS and the VSPD for both groups(P>0.05); after operation, there were significant differences in the scores of the SAS and the VSPD,pain frequency and (P<0.01). Conclusion Perioperative anti-anxiety intervention can lighten the pain degree and frequency and reduce the meperridine dosage.