文章摘要
手术前中重度焦虑发生的相关危险因素
Related risk factors of moderate and severe preoperative anxiety
  
DOI：10.12089/jca.2018.05.002
中文关键词: 术前焦虑  危险因素  全身麻醉
英文关键词: Preoperative anxiety  Risk factors  General anesthesia
基金项目:
作者单位E-mail
潘鑫 221000,徐州市,徐州医科大学附属医院麻醉科  
昝望 221000,徐州市,徐州医科大学附属医院麻醉科  
熊苗苗 221000,徐州市,徐州医科大学附属医院麻醉科  
汪丹 221000,徐州市,徐州医科大学附属医院麻醉科  
刘金东 221000,徐州市,徐州医科大学附属医院麻醉科 Liujindong1818@163.com 
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中文摘要:
      目的 研究择期全身麻醉手术患者手术前中重度焦虑的发生率以及相关危险因素。方法 在徐州医科大学附属医院选择择期行全身麻醉的手术患者562例，男225例，女337例，年龄18～85岁,ASA Ⅰ～Ⅲ 级, 术前1 d采用状态特质焦虑量表(STAI)评估患者的术前焦虑程度, 按照状态焦虑量表（SAI）评分将患者分为轻度焦虑组(SAI评分≤37分, n=294)和中重度焦虑组(SAI评分>37分, n=268)。采集与术前焦虑的发生可能相关的因素如年龄、性别、学历、婚姻状况、既往手术史、是否存在疼痛、术前是否诊断肿瘤及是否有高血压等。结果 中重度术前焦虑的发生率为268例（47.7％)。多因素Logistic回归分析表明, 女性(OR=1.846, 95％CI 1.298～2.624)、单身(OR=2.208, 95％CI 1.218～4.004)是中重度术前焦虑发生的危险因素。结论 女性、单身可能是中重度术前焦虑发生的独立危险因素。
英文摘要:
      Ojective To study the incidence of moderate and severe preoperative anxiety and its related risk factors in patients undergoing elective general anesthesia. Methods A total of 562 patients undergoing selective anesthesia 225 males and 337 females, aged 18-85 years, ASA physical status Ⅰ-Ⅲ, were selected in the affiliated hospital of Xuzhou medical university. State-trait anxiety inventory (STAI) was used to assess the degree of preoperative anxiety and the patients were divided into mild anxiety group (SAI ≤ 37, n=294) and moderate and severe anxiety group (SAI > 37, n=268) according to SAI score. The factors related to preoperative anxiety such as age, gender, educational background, marital status, history of previous surgery, presence of pain, preoperative diagnosis of tumor and presence or absence of hypertension were collected. Results The incidence of moderate and severe preoperative anxiety in our study was 268 (47.7％). Logistic regression analysis showed that female (OR=1.846, 95％CI 1.298-2.624), single (OR=2.208, 95％CI 1.218-4.004) might be the risk factors of preoperative anxiety. Conclusion Females and single individuals may be independent risk factors for preoperative anxiety.
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