腔镜下甲状腺手术与开放甲状腺手术对患者术后心理状态的比较研究  

Comparative Study on Postoperative Psychological Status Between Endoscopic Thyroid Surgery and Open Thyroid Surgery Patients

作　　者：文玲 Wen Ling(Thyroid Gland Breast Surgery,Guangdong Second Provincial General Hospital,Guangzhou,Guangdong,510317,China)

机构地区：[1]广东省第二人民医院甲状腺乳腺外科,广东广州510317

出　　处：《黑龙江医学》2025年第8期914-916,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨腔镜下甲状腺手术与开放式甲状腺手术对患者负性情绪、睡眠质量、术后疼痛程度及康复情况的影响。方法:回顾性分析2023年3月—12月广东省第二人民医院接受腔镜或开放甲状腺手术的80例患者资料,采用随机抽样法从腔镜和开放手术患者中各抽取40例纳入研究。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及匹兹堡睡眠质量指数(PSQI)评估患者负性情绪及睡眠质量,应用视觉模拟量表(VAS)评估术后疼痛程度,比较两组患者术后带管天数、康复锻炼开始时间、住院时间及手术满意度。结果:术后,两组患者SAS评分、SDS评分、PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍和日间功能障碍6个维度评分均明显高于术前;术后2 h、12 h、24 h、48 h腔镜组VAS评分均低于开放组,差异均有统计学意义(t=2.014、3.694、4.820、4.674,P<0.05);腔镜组带管天数和康复锻炼开始天数均少于开放组,差异均有统计学意义(t=3.581、5.302,P<0.05);腔镜组患者手术满意率高于开放组,差异有统计学意义(χ^(2)=595.5,P<0.05)。结论:与开放式甲状腺手术相比,腔镜下甲状腺手术可减轻患者术后负性情绪,改善睡眠质量,缓解术后疼痛,加速术后康复进程,提高患者满意度。Objective:To investigate the effects of laparoscopic thyroidectomy and open thyroidectomy on patients’negative emotions,sleep quality,postoperative pain,and recovery.Methods:A retrospective case-control study was conducted on 80 patients who underwent endoscopic or open thyroidectomy in the hospital from March to December 2023.The patients were divided into the endoscopic group and the open group,with 40 cases each.The Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Pittsburgh Sleep Quality Index(PSQI)were used to assess patients’negative emotions and sleep quality.The Visual Analogue Scale(VAS)was used to evaluate postoperative pain.The number of days with drainage tubes,the time to start rehabilitation exercises,length of hospital stay and surgical satisfaction were compared between the two groups.Results:After operation,SAS score,SDS score,PSQI total score,sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disorder and daytime dysfunction scores in two groups were significantly higher than before operation.VAS scores in the endoscopic group 2 h,12 h,24 h and 48 h after surgery were lower than those in the open group,with statistically significant difference(t=2.014,3.694,4.820,4.674;P<0.05).The number of days with tube and the beginning days of rehabilitation exercise in endoscopy group were less than those in open group,and the differences were statistically significant(t=3.581,5.302;P<0.05).The surgical satisfaction rate in the endoscopic group was higher than that in the open group,and the difference was statistically significant(χ^(2)=595.5,P<0.05).Conclusion:Compared with open thyroidectomy,laparoscopic thyroidectomy can alleviate patients’postoperative negative emotions,improve sleep quality,relieve postoperative pain,accelerate postoperative recovery,and enhance patient satisfaction.

关 键 词：腔镜下甲状腺手术 开放式甲状腺手术 心理护理 

分 类 号：R581[医药卫生—内分泌]