术中知晓患者术后抑郁/焦虑情况研究

目的研究术中知晓患者术后抑郁/焦虑情况。方法选取10例全麻术中知晓患者纳入术中知晓组,30例无术中知晓全麻患者为对照组。所有患者术后1个月,利用医院焦虑抑郁量表、Hamilton抑郁量表和/或Hamilton焦虑量表进行调查。结果术中知晓组与对照组患者年龄、性别、体重以及手术时间等一般情况无显著性差异(p>0.05),但术中知晓组单纯采取全麻方式比率高于对照组(p<0.05)。术中知晓组与对照组比较,抑郁症状发生率,抑郁合并焦虑症状发生率以及抑郁焦虑症状总和率均有显著性差异(p<0.05),焦虑症状发生率差异不显著(p>0.05)。术中知晓组与对照组比较,肯定抑郁发生率以及肯定抑郁焦虑总和率差异显著(p<0.05),而肯定焦虑发生率、肯定抑郁合并肯定焦虑发生率差异不显著(p>0.05)。结论术中知晓患者容易发生抑郁/焦虑等精神障碍。

DEPRESSIVE AND/OR ANXIETY DISORDER IN PATIENTS WITH AWARENESS DURING GENERAL ANESTHESIA

Objective To reveal the prevalence of depressive and/or anxiety symptom and disorder in patients with awareness during general anesthesia.Methods 10 patients which had the awareness during general anesthesia were selected into AR group (awareness with recall during general anesthesia group).Face-to-face interviews were used in data collection together with the self-completed HAD scale for depressive and/or anxiety symptom screening.Subjects getting a HAD score of 9 and above were further assessed for depressive and/or anxiety disorders with HAMA scales and HAMD scales.Results The difference of common general state of patients, such as age, weigh and the time during operation were all insignificant between two groups (p>0.05).The rate of patients received general anesthesia only in AR group was higher than that in control group(p<0.05).The prevalence of depressive symptom, the prevalence of depressive or anxiety symptom and the prevalence of depressive and anxiety symptom in AR group were higher than that in control group(p<0.05).The prevalence of depressive disorder, the prevalence of depressive or anxiety disorder and the prevalence of depressive and anxiety disorder in AR group were higher than that in control group too(p<0.05).Conclusion There was high prevalence of depressive and/or anxiety symptom and disorder in patients with recall-awareness during general anesthesia.