活体与全肝肝移植患者围手术期心理状态评估  

EVALUATION ON THE PERIOPERATIVE PSYCHOLOGIC STATE BETWEEN PATIENTS WITH LIVING DONOR LIVER TRANSPLANTATION AND ORTHOTOPIC LIVER TRANSPLANTATION

作　　者：尹杰[1] 李波[1] 杜正贵[1] 冯曦[1] 魏永刚[1] 严律南[1] 高欣[2] 

机构地区：[1]四川大学华西医院肝脏及周围血管外科,成都610041 [2]四川大学华西医院心理卫生中心

出　　处：《现代预防医学》2010年第22期4283-4285,4288,共4页Modern Preventive Medicine

摘　　要：[目的]比较活体与全肝移植患者围手术期抑郁、焦虑的心理状况。[方法]105例肝移植患者(活体44例/全肝61例),围手术期使用ZUNG氏抑郁自评量表和焦虑自评量表进行评分。[结果]肝移植手术前后焦虑、抑郁水平均高于全国常模,差异有统计学意义(P﹤0.05)。术前抑郁女性高于男性、全肝移植患者高于活体患者;术后焦虑水平女性高于男性、活体肝移植患者高于全肝移植患者;受教育时间短的患者术后焦虑抑郁的评分明显增高。[结论]肝移植患者围手术期抑郁焦虑状态有较高的发生率,应加强对女性患者、亲体肝移植患者及受教育时间短的患者的心理关怀。[Objective] To compare the perioperative psychological state including depression and anxiety level between patients with Living donor liver transplantation（LDLTx） and whole liver transplantation（WLTx）.[Methods] 105 patients with liver transplantation were assessed by the Self-Rating Depression Scale and Self-Rating Anxiety Scale.[Results] Patients showed significantly greater depression and anxiety than the norm.The preoperative depressive levels were higher in female and WLTx than in male and LDLTx.The postoperative anxious levels were higher in female and LDLTx than in male and WLTx.The postoperative depressive and anxious levels were significantly higher in the patients with education level（﹤12years）.[Conclusion] The patients with LT have high risk for perioperative depression and anxiety.We should take care of those patients,especially for female,LDLT and low education patients.

关 键 词：抑郁 焦虑 活体 肝移植 

分 类 号：R617[医药卫生—外科学]