Influence of preoperative anxiety-depression status on the postoperative pain in patients undergoing gyne-cologic laparoscope surgery
10.12089/jca.2018.03.011
- VernacularTitle:焦虑抑郁状态对妇科腹腔镜手术患者术后疼痛的影响
- Author:
Yuqi LIU
1
;
Qingyan LUO
;
Shaoqiang HUANG
;
Lingyun FAN
;
Jiangnan WU
Author Information
1. 复旦大学附属妇产科医院麻醉科
- Keywords:
Anxiety-depression staus;
Postoperative pain;
Laparoscope;
Relative index
- From:
The Journal of Clinical Anesthesiology
2018;34(3):254-257
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of preoperative anxiety-depression status on the postoperative pain in patients undergoing gynecologic laparoscope surgery.Methods Ninety pa-tients,aged 18-65 years,BMI 18-30 kg/m2,ASA physical status Ⅰ or Ⅱ,undergoing gynecologic laparoscope surgery were included in this single-center observational study.All the patients were in-terviewed by anesthetists the afternoon before surgery and completed a Hospital Anxiety and Depres-sion Scale (HADS)to evaluate the anxiety-depression status.Then the patients were divided into two groups,low HADS group (group L)(HADS score≤9)and high HADS group (group H)(HADS score>9).Patients'visual analogue scores (VAS)were recorded at the time 30 min,60 min,6 h, 12 h,24 h after operation.The correlation analysis between HADS before operation and VAS scores at different time point was performed.The use of analgesia medicine,exhausting time and complica-tions such as nausea, vomiting, dizzy, pain of shoulder and back were also recorded. Results Compared to group H,VAS score was lower in group L at 6 hour after surgery but no sig-nificant different was found at 30 min,60 min,12 h,24 h after surgery.There was a significant asso-ciation between preoperative HADS scores and VAS at 6 hour after surgery (r=0.634,P=0.01);but no significant association was found between preoperative HADS scores and VAS at the other time point after surgery.The exhausting time was significantly longer in group H than group L (P<0.05).There was no significant difference in the incidence of nausea,vomiting,dizzy or pain of shoulder and back between the two groups.Conclusion Preoperative anxiety-depression status has a positive influence on postoperative pain at 6 hour after gynecologic laparoscope surgery,and also can delay the recovery of gastrointestinal function.
