切口妊娠患者焦虑抑郁状况调查及其对子宫动脉术后疼痛的影响  

Investigation about anxiety and depression status of patients with cesarean incision pregnancy and its effect on postoperative pain of uterine artery embolization

作　　者：热孜万古力·热西提[1] 布祖克拉·阿布都艾尼 史凌云[1] Reziwanguli Rexiti;Buzukela Abuduaini;SHI Ling-yun(The First Affiliated Hospital of Xinjiang Medical University,Urumqi,830054,China)

机构地区：[1]新疆医科大学第一附属医院,乌鲁木齐830054

出　　处：《新疆医学》2021年第1期67-70,共4页Xinjiang Medical Journal

基　　金：新疆医科大学发展与改革项目(项目编号:2017XYFG95)。

摘　　要：目的调查剖宫产切口妊娠(CSP)患者焦虑抑郁状况并探讨其对子宫动脉栓塞术后疼痛的影响。方法选择2017年1月至2017年9月在新疆医科大学第一附属医院妇科收治的剖宫产切口妊娠患者120例,术前发放焦虑和抑郁量表(SAS,SDS),并对术后刚刚返回病房(0h)、6h、12h、24h等四个时间点的疼痛程度进行评估,分析不同程度焦虑抑郁状态对术后疼痛的影响。结果术前焦虑抑郁状况调查结果显示CSP患者心理状态正常即无焦虑抑郁的患者47(39.17%)例,其余73(60.83%)例患者存在焦虑抑郁状态或者二者并存现象,不同程度焦虑抑郁状态对术后不同时间点疼痛影响差异均有统计学意义(P <0.05)。结论剖宫产切口妊娠患者心情复杂,焦虑抑郁发生率高,并且焦虑抑郁状态对术后疼痛影响显著,因此CSP患者需要精心的心理护理及人文关怀,减轻术后疼痛程度,提高舒适度。Objective To investigate the status of anxiety and depression in patients undergoing cesarean section incision pregnancy(CSP)and its effect on postoperative pain after uterine artery embolization. Methods 120 cases undergoing cesarean from January 2017 to September 2017 at the department of Gynecology of the first affiliated hospital of Xinjiang medical university were selected. Anxiety and depression scale(SAS, SDS)was distributed before surgery, and the pain degree at four time points, namely 0 h, 6 h, 12 h and 24 h after surgery, was evaluated to analyze the influence of different degrees of anxiety and depression on postoperative pain. Results Preoperative anxiety and depression survey showed that 47(39.17%)of CSP patients had normal mental state, which meant they had no anxiety and depression, and the other 73(60.83%)patients had anxiety or depression or both. There were significant differences in the effects of different degrees of anxiety and depression on pain at different time points after operation(P < 0.05). Conclusions Pregnancy patients with cesarean section incision have complex mood, high incidence of anxiety and depression, and anxiety and depression have a significant impact on postoperative pain. Therefore, CSP patients needed careful psychological care and humanistic care to reduce postoperative pain and improve comfort level.

关 键 词：切口妊娠 焦虑抑郁 术后疼痛 

分 类 号：R71[医药卫生—妇产科学]