| 快通道外科治疗对手外伤患者围手术期精神因素的影响 |
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| 引用本文： | 江起庭,杨丽娜,王钰,江志伟.快通道外科治疗对手外伤患者围手术期精神因素的影响[J].实用手外科杂志,2013(3):307-308,318. |
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| 作者姓名： | 江起庭 杨丽娜 王钰 江志伟 |
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| 作者单位： | [1]巢湖紫晨手外科医院手外科中心,安徽巢湖238000 [2]沈阳医学院附属中心医院手外科研究所,辽宁沈阳110024 [3]中国人民解放军南京军区南京总医院全军普外科研究所,江苏南京210002 |
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| 基金项目： | 基金项目：江苏省社会发展面上科技计划项目（BS2007054） |
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| 摘 要： | 目的探讨快通道外科（FTS）治疗对手部创伤患者围手术期精神因素的影响。方法2011年3月-2012年12月．对60例手部创伤患者随机分成FTS治疗组和对照组，比较治疗前后患者的汉密尔顿焦量表（HAMA）积分的变化。结果HAMA积分在治疗前，FTS组与对照组比较，差异无统计学意义（P=0．149）；治疗后两组HAMA积分分别在2周、4周、6周后比较，差异均有统计学意义（P=0．047，P=0．023。P=0．0126）。结论制定个体化的FTS治疗，能有效地缓解手部创伤患者围手术期的不良精神因素．其优势优于常规治疗方法。
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| 关 键 词： | 快通道外科 围手术期 焦虑 应激 |
The influence of the fast track surgery on perioperative psychologic factor in the patients of hand wounds |
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| Institution: | JIANG Qi-ting, YANG Li-na, WANG Yu, et al (Department of Hand Surgery, Zichen Hand Surgery Hospital of Chaohu, Anhui, 238000, China) |
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| Abstract: | Objective To investigate the effect of fast track surgery （FTS） on perioperative psychologic factor in the patients of hand wounds. Methods From March 2011 to December 2012, Sixty patients of hand wounds were randomly divided into FTS treatment group （n=30） and control group （n=30）, the patients of FTS group were treated by FTS, the patients of control group were treated by conventional therapy, the results were assessed and analyzed with the Hamilton anxiety scale （HAMA）. Results The HAMA before the treatment, there was no statistical significance （P=0.149）, the HAMA after the treatment, the results of FTS group were superior to those of control group with significant difference （P=0.047,P= 0.023,P=0.0126）. Conclusion Drawing up individual FTS treatment can effectively improve perioperative anxiety in the patients of hand wounds. |
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| Keywords: | Fast track surgery Perioperation Anxiety Stress |
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