围手术期的心理评估与心脏术后脑损害及其他因素的相关性  

Correlation between perioperative psychological assessment and brain damage after cardiac surgery and other factors

作　　者：李恩泽[1] 李倩琴 王睿苓 郑少忆[2] 罗治文 肖泽周 LI Enze;LI Qianqin;WANG Ruiling;ZHENG Shaoyi;LUO Zhiwen;XIAO Zezhou(Department of the Psychopsychology,Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;Department of the Cardiovascular Surgery, Nanfang Hospital, Southern Medical University,Guangzhou 510515, China)

机构地区：[1]南方医科大学南方医院精神心理科,广东广州510515 [2]南方医科大学南方医院心血管外科,广东广州510515

出　　处：《分子影像学杂志》2019年第3期383-387,共5页Journal of Molecular Imaging

基　　金：广州市科技计划项目(201804010067)

摘　　要：目的探讨心脏围手术期焦虑抑郁状态与各个因素及术后发生脑损伤的相关性。方法采用Spearman相关分析心脏术前、术后患者的焦虑抑郁状态与反应脑功能损害的指标神经元特异性烯醇化以及术前、术后各个因素的相关性。结果心脏手术患者围手术期存在轻度的焦虑抑郁状态,患者的焦虑抑郁评分与反应心脏功能的NYHA分级、术前的氧合指数、肝肾功能没有相关性,提示患者的焦虑抑郁状态主要由于对病情及手术的顾虑导致。结论本研究同时也发现患者围手术期的焦虑抑郁状态与术后发生肝肾功能、脑损害无关。Objective To analyze the correlation between anxiety, depression status of patients before or after cardiac surgery and NSE. Methods We use Spearman correlation to explore the correlation between anxiety, depression status of patients before or after cardiac surgery and NSE. Results Patients with cardiac surgery had mild anxiety and depression during the perioperative period. The anxiety and depression score of patients had no correlation with NYHA grades, preoperative oxygenation index, and liver and kidney function. The anxiety and depression status of patients were mainly caused by concerns about the desease condition and surgery. Conclusion The preoperative anxiety and depression are not related to postoperative liver and kidney function and brain damage.

关 键 词：心脏手术 焦虑 抑郁 汉密尔顿焦虑量表 汉密尔顿抑郁量表 症状自评量表 

分 类 号：R654.2[医药卫生—外科学]