Effect of preoperative anxiety on laparoscopic hysterectomy under general anesthesia in the elderly

QIU Jing-hui; DAI Hui-rong; JI Lin; YUAN Cong-hu; WANG Tao; DAI Ti-jun

doi:10.11659/jjssx.06E024090

您当前的位置：

首页 >

文章列表页 >

Effect of preoperative anxiety on laparoscopic hysterectomy under general anesthesia in the elderly

Clinical Research | 更新时间：2025-03-25

- Effect of preoperative anxiety on laparoscopic hysterectomy under general anesthesia in the elderly
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 3, Pages: 228-231(2025)
- 作者机构：
  
  1.盐城市第三人民医院麻醉科，江苏盐城 224000
  2.徐州医科大学麻醉药理学教研室，江苏徐州 221004
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.06E024090
  CLC： R614
- Received：21 June 2024，
  
  Published：25 March 2025
- 稿件说明：
移动端阅览
仇晶辉,戴慧荣,吉林等.术前焦虑情绪对老年全身麻醉腹腔镜下子宫切除术的影响[J].局解手术学杂志,2025,34(03):228-231.

QIU Jing-hui,DAI Hui-rong,JI Lin,et al.Effect of preoperative anxiety on laparoscopic hysterectomy under general anesthesia in the elderly[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(03):228-231.
仇晶辉,戴慧荣,吉林等.术前焦虑情绪对老年全身麻醉腹腔镜下子宫切除术的影响[J].局解手术学杂志,2025,34(03):228-231. DOI： 10.11659/jjssx.06E024090.

QIU Jing-hui,DAI Hui-rong,JI Lin,et al.Effect of preoperative anxiety on laparoscopic hysterectomy under general anesthesia in the elderly[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(03):228-231. DOI： 10.11659/jjssx.06E024090.

摘要

目的

明确术前焦虑情绪对全身麻醉腹腔镜下子宫切除老年患者术中体温、隐性失血量和切口愈合的影响。

方法

选择2021年1月至2023年12月在盐城市第三人民医院行腹腔镜下子宫切除的118例老年患者为研究对象，根据术前1 d焦虑自评量表（SAS）评分分为正常组（情绪正常，69例）和焦虑组（焦虑情绪，49例）。比较2组患者不同时点的核心温度以及术中低体温发生情况；比较2组患者的术中出血量、切口引流血量、隐性失血量、不良反应发生情况及切口愈合情况。

结果

焦虑组患者手术60 min和手术结束时的核心温度明显低于正常组(

0.05)。焦虑组患者的术中低体温发生率明显高于正常组(

0.05)。2组患者术中出血量和切口引流血量比较差异无统计学意义（

0.05），而焦虑组患者的隐性失血量明显多于正常组(

0.05)。焦虑组患者的寒战发生率明显高于正常组(

0.05)；焦虑组患者的切口愈合不良率明显高于正常组(

0.05)。

结论

对于行腹腔镜下子宫切除手术且时间超过60 min的老年患者，若术前有焦虑情绪术中体温会显著降低，术中低体温和寒战发生率较高，隐性失血量显著增加，容易发生切口愈合不良，不利于患者术后快速康复。

Abstract

Objective

To investigate the effects of preoperative anxiety on the intraoperative body temperature， recessive blood loss， and wound healing in elderly patients undergoing laparoscopic hysterectomy under general anesthesia.

Methods

A total of 118 elderly patients who underwent laparoscopic hysterectomy in Yancheng Third People's Hospital from January 2021 to December 2023 were selected as the research subjects， and they were divided into the normal group （69 cases with normal emotions） and the anxiety group （49 cases with anxiety emotions） according to the self-rating anxiety scale （SAS） score 1 day before operation. The core temperature at different time points and the incidence of intraoperative hypothermia were compared between the two groups. The intraoperative bleeding volume， incision drainage bleeding volume， recessive blood loss， incidence of adverse reactions， and wound healing were compared between the two groups.

Results

The core temperature 60 minutes after operation and at the end of operation in the anxiety group were significantly lower than those in the normal group （

0.05）. The incidence of intraoperative hypothermia in the anxiety group was significantly higher than that in the normal group （

0.05）. There was no statistically significant difference in the intraoperative bleeding volume or incision drainage bleeding volume between the two groups （

0.05）， while the recessive blood loss in the anxiety group was significantly higher than that in the normal group （

0.05）. The incidence of shivering in the anxiety group was significantly higher than that in the normal group （

0.05）； th

e incidence of poor wound healing in the anxiety group was significantly higher than that in the normal group （

0.05）.

Conclusion

For elderly patients who undergo laparoscopic hysterectomy for more than 60 minutes， the body temperature will significantly decrease， the incidence of intraoperative hypothermia and shivering is high， the recessive blood loss will significantly increase， which is prone to poor wound healing and is not conducive to the rapid recovery of patients after operation，if combined with anxiety before surgery.

关键词

Keywords

references

吴春霞，邹澜，吴春峰 . 艾司氯胺酮对子宫切除术患者术后焦虑抑郁的影响［J］. 药学与临床研究， 2024 ， 32 （ 1 ）： 40 - 44 . doi： 10.13664/j.cnki.pcr.2024.01.017 http://dx.doi.org/10.13664/j.cnki.pcr.2024.01.017 .

Yang S ， Werner BC . Risk factors for prolonged postoperative opioid use after spinal fusion for adolescent idiopathic scoliosis ［J］. J Pediatr Orthop ， 2019 ， 39 （ 10 ）： 500 - 504 . doi： 10.1097/BPO.000000000000 1180 http://dx.doi.org/10.1097/BPO.0000000000001180 .

陈悦，吴磊，叶青青，等 . 术前焦虑对全麻下髋关节置换老年患者术中低体温、出血量及苏醒质量的影响［J］. 国际老年医学杂志， 2023 ， 44 （ 6 ）： 701 - 704 . doi： 10.3969/j.issn.1674-7593.2023. 06.014 http://dx.doi.org/10.3969/j.issn.1674-7593.2023.06.014 .

谢伟伟，江茜茜，陈柳仰 . 术中保暖对高龄腹腔镜子宫切除患者切口感染并发症及切口愈合影响［J］. 中国妇幼保健， 2024 ， 39 （ 4 ）： 763 - 766 . doi： 10.19829/j.zgfybj.issn.1001-4411.2024.04.047 http://dx.doi.org/10.19829/j.zgfybj.issn.1001-4411.2024.04.047 .

陈雪，张晓洁，饶丽华，等 . 不同体质量指数老年病人全麻腹腔镜下子宫切除术术中低体温的发生情况［J］. 实用老年医学， 2023 ， 37 （ 5 ）： 505 - 508 . doi： 10.3969/j.issn.1003-9198.2023.05.017 http://dx.doi.org/10.3969/j.issn.1003-9198.2023.05.017 .

杨玉春，吴皎卿，梁婷婷，等 . 术前焦虑情绪对老年全身麻醉乳腺癌根治术中体温及切口愈合的影响研究［J］. 局解手术学杂志， 2024 ， 33 （ 6 ）： 525 - 528 . doi： 10.11659/jjssx.06E023095 http://dx.doi.org/10.11659/jjssx.06E023095 .

方敏，严丽洁，张倩，等 . 全麻下腹腔镜子宫切除术患者术中低体温发生的风险因素与其干预措施分析［J］. 湖南师范大学学报（医学版）， 2023 ， 20 （ 5 ）： 61 - 64 . doi： 10.3969/j.issn.1673-016X.2023.05.010 http://dx.doi.org/10.3969/j.issn.1673-016X.2023.05.010 .

覃文杰，胡居正，朱成明 . 老年转子间骨折股骨近端防旋髓内钉治疗术中体温干预对隐性失血的影响［J］. 吉林医学， 2022 ， 43 （ 8 ）： 2083 - 2085 . doi： 10.3969/j.issn.1004-0412.2022.08.017 http://dx.doi.org/10.3969/j.issn.1004-0412.2022.08.017 .

Wang TY ， YanJH ， Li SM ， et al . Increased insular connectivity with emotional regions in primary insomnia patients：a resting state fMRI study ［J］. Euro Radiol ， 2017 ， 27 （ 9 ）： 3703 - 3709 . doi： 10.1007/s00330-016-4680-0 http://dx.doi.org/10.1007/s00330-016-4680-0 .

叶海明，黄艺聪，姚森，等 . 股骨髓腔灌注氨甲环酸对髓内钉治疗老年股骨转子间骨折围手术期隐性失血及术后血栓风险的影响［J］. 中华骨与关节外科杂志， 2022 ， 15 （ 9 ）： 710 - 715 . doi： 10.3969/j.issn.2095-9958.2022.09.11 http://dx.doi.org/10.3969/j.issn.2095-9958.2022.09.11 .

陈孝平，汪建平 . 外科学（第9版）［M］. 北京：人民卫生出版社， 2018 ： 95 .

原学宏，董山芹 . 手术患者的心理护理体会［J］. 中国误诊学杂志， 2008 ， 8 （ 20 ）： 4922 - 4923 . doi： 10.3969/j.issn.1009-6647. 2008. 20.132 http://dx.doi.org/10.3969/j.issn.1009-6647.2008.20.132 .

Dean M ， Ramsay R ， Heriot A ， et al . Warmed，humidified CO 2 insufflation benefits intraoperative core temperature during laparoscopic surgery：a meta-analysis ［J］. Asian J Endoscopic Surg ， 2017 ， 10 （ 2 ）： 128 - 136 . doi： 10. 1111/ases.12350 http://dx.doi.org/10.1111/ases.12350 .

叶青青，陈悦，吴浩，等 . 老年患者全身麻醉腹腔镜下子宫切除术中低体温发生情况及危险因素［J］. 局解手术学杂志， 2023 ， 32 （ 2 ）： 125 - 128 . doi： 10.11659/jjssx.08E022146 http://dx.doi.org/10.11659/jjssx.08E022146 .

许文伟，周宁宁，何敏芝，等 . 外科术中意外低体温危险因素调查研究［J］. 中国现代医生， 2020 ， 58 （ 32 ）： 118 - 121 .

吴瑜婷 . 老年骨科病人术中低体温的影响因素及护理干预对策［J］. 全科护理， 2021 ， 19 （ 26 ）： 3663 - 3666 . doi： 10.12104/j.issn. 1674-4748.2021.26.017 http://dx.doi.org/10.12104/j.issn.1674-4748.2021.26.017 .

童淼，周晓芸 . 暖风机预防低体温对剖宫产患者康复的影响［J］. 中国妇幼保健， 2021 ， 36 （ 15 ）： 3632 - 3636 . doi： 10.19829/j.zgfybj.issn.1001-4411.2021.15.068 http://dx.doi.org/10.19829/j.zgfybj.issn.1001-4411.2021.15.068 .

Singh SC ， Steptoe A ， Leigh E ， et al . Pre-surgical care-giver burden and anxiety are associated with post-surgery cortisol over the day in caregivers of coronary artery bypass graft surgery patients ［J］. Int J Behav Med ， 2019 ， 26 （ 3 ）： 316 - 322 . doi： 10.1007/s12529-019-09775-6 http://dx.doi.org/10.1007/s12529-019-09775-6 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Effects of heated iodophor disinfection on body temperature and bleeding in elderly patients undergoing radical mastectomy

Effect of ultrasound-guided superior laryngeal nerve block in endotracheal intubation during geriatric general anesthesia surgery

Application of single-port thoracoscopic surgery for non-small cell lung cancer in the elderly

Effects of different doses of methoxamine combined with restricted fluid infusion in elderly patients undergoing thoracoscopic lobectomy

Application of oxycodone in analgesia after thoracoscopic radical lung cancer surgery in elderly

Related Author

TIAN Zhen

LIU Qiong

HE Wen-wen

HAN Xiao

TAN Shan-shan

WANG Hui-wen

MIAO Yu-qi

LI Cui-wen

Related Institution

Department of Anesthesiology， Nanjing Drum Tower Hospital Group Suqian Hospital

Department of Anesthesia and Surgery， Suqian Hospital of Jiangsu Provincial People's Hospital

Intensive Care Unit， Second People's Hospital of Gansu Province

Department of Anesthesia， the 940th Hospital of the Joint Support Force of PLA

Department of Thoracic Surgery，the Second People's Hospital of Ya'an City in Sichuan Province

⁰