毫米波治疗对老年腹股沟疝患者术后焦虑情绪和睡眠质量的影响  

Effect of millimeter wave treatment on postoperative anxiety and sleep quality in elderly patients with inguinal hernia

作　　者：梁思远 林华骏 张勃[3] 李培鑫[1] LIANG Siyuan;LIN Huajun;ZHANG Bo;LI Peixin(Department of Surgery,Medical Care Center,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China;Department of General Surgery,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China;Department of Rehabilitation,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院医疗保健中心外科,北京100050 [2]首都医科大学附属北京友谊医院普外科,北京100050 [3]首都医科大学附属北京友谊医院康复科,北京100050

出　　处：《贵州医科大学学报》2021年第8期964-969,共6页Journal of Guizhou Medical University

基　　金：北京市保健委员会课题(京19-10)。

摘　　要：目的探讨毫米波局部照射腹股沟疝手术后切口对老年患者焦虑情绪及睡眠质量的影响。方法>70岁腹股沟疝手术后患者83例,采用随机数字表法为毫米波组(n=40例)和对照组(n=43例);对照组术后常规围术期护理,毫米波组患者术后在对照组的基础上给予腹股沟伤口毫米波治疗。两组患者均于入院、术后第7天时,采用汉密顿焦虑量表(HAMA)评估躯体性焦虑(肌肉系统、感觉系统、心血管系统症状、呼吸系统症状、胃肠道症状、生殖泌尿系症状、植物神经系症状等7个维度)和精神性焦虑(焦虑心境、紧张、害怕、失眠、认知功能、抑郁心境以、会谈时行为表现等7个维度)的焦虑程度得分,比较两组患者的焦虑程度。于术前、术后第7天时,采用匹兹堡睡眠质量指数(PSQI)评估两组患者睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物及日间功能障碍等7个维度得分;于术后第7天时对毫米波组患者进行毫米波治疗依从性调查,评价患者对毫米波治疗的依从性。结果与对照组比较,毫米波组术后在焦虑心境、紧张、害怕、失眠、认知功能、抑郁心境、肌肉系统症状、感觉系统症状、呼吸系统症状、植物神经症状及总分等维度评分低于对照组,差异有统计学意义(P<0.05)。毫米波组患者术后的焦虑状态低于对照组,差异有统计学意义(P<0.05)。与对照组比较,毫米波组患者术后在睡眠质量、入睡时间、睡眠效率、日间功能障碍及总分评分优于对照组,差异有统计学意义(P<0.05);毫米波组睡眠状态优于对照组,差异有统计学意义(P<0.05)。接受毫米波治疗的27位(90.00%)患者依从性很好。结论毫米波局部照射可改善老年腹股沟手术后患者的焦虑状态和提高睡眠质量。Objective To investigate the influence of postoperative incision of millimeter wave local irradiation on anxiety and sleep quality in elderly patients with inguinal hernia.Methods Eighty-three patients with inguinal hernia,aged 70 years and above,were selected,and they were divided into a millimeter wave group(40 cases)and a control group(43 cases)by means of random number table;after operation,the latter was only given routine perioperative treatment while the former was given additional millimeter wave treatment on inguinal incision.On the day of admission and on the 7 d after operation,the Hamilton Anxiety Scale(HAMA)was used to assess physical anxiety(seven dimensions:muscular,sensory,cardiovascular symptoms,respiratory symptoms,gastrointestinal symptoms,genitourinary symptoms,and autonomic symptoms)and mental anxiety(seven dimensions:anxious mood,tension,fears,insomnia,intellectual,depressed mood,and behavior at interview).On the day of admission and on the 7 d after operation,the Pittsburgh Sleep Quality Index(PSQI)was also used to evaluate the scores of the seven dimensions such as postoperative sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,sleep medication,and daytime dysfunction of patients in the two groups.On the 7 d after operation,a survey of compliance was conducted on the patients of the millimeter wave group to evaluate their compliance on millimeter wave treatment.Results Compared with the control group,the millimeter wave group's scores were lower in terms of aggregate score and scores of anxious mood,tension,fears,insomnia,intellectual,depressed mood,muscular symptoms,sensory symptoms,respiratory symptoms,and autonomic symptoms.The difference was statistically significant(P<0.05).Patients in the millimeter wave group felt less postoperative anxiety than those in the control group and the difference achieved statistical significance(P<0.05).Compared with the control group,the millimeter wave group's scores were higher in terms of aggregate score and scores of slee

关 键 词：疝 腹股沟 老年 焦虑 睡眠 生活质量 

分 类 号：R749.92[医药卫生—神经病学与精神病学]