昆明医学院学报2012，Vol.33Issue(1)：61-66,6.
结直肠肿瘤患者术后焦虑评分同术后并发症的相关性
The Correlation between of Postoperative Anxiety Scale of Colorectal Cancer Patient and the Postoperative Complication
摘要
Abstract
Objective To evaluate the influence of postoperative anxiety scales on postoperative complications of colorectal cancer by clinically using the Hamilton anxiety. Methods We prospectively enrolled 126 patients definitely diagnosed with colorectal cancer from February to May in 2010 at the Center of Gastrointestinal Surgery, West China Hospital, Sichuan University. By dividing them into three groups according to the anxiety scales, postoperative complication rates were compared between groups, relating postoperative anxiety factors were evaluated and clinical rating value between postoperative anxiety scale and postoperative complication incidence rate of patients was explored.Results There was a significant difference in the postoperative complication rates among the three groups (x 2= 17.904, P＜0.001) , and the postoperative complication rate of potential anxiety group(anxiety score = 7-13) was lower than non-anxiety group (anxiety score＜7) (x 2 = 11.027, P= 0.002) and anxiety group (anxiety score> 14) (x 2=20.677, P＜0.001) . The difference between the anxiety group and the non-anxiety group had no statistical significance (x 2= 1.636, P =0.274) . The risk factors for postoperative anxiety were type of expense (P =0.053) , resides (P =0.018) , medical complication (P =0.014) , neoadjuvant chemotherapy (P = 0.053) , the DUKE's stage (P = 0.009) , the ordinary diet day after operation(P=0.001) . After analyzing, the critical value was 17 point for anxiety score and the postoperative complication incidence in patients was higher when the post anxiety scale was over 17 (x 2= 12.538, P=0.004). Conclusions The postoperative anxiety scale of the colorectal patients has some corelations with the postoperative complication incidence, and the ones with high score in anxiety scale are more likely to suffer from postoperative complications. However, the postoperative complication incidence is relatively low in moderate anxiety patients.关键词
结直肠癌/术后并发症/汉密尔顿焦虑量表/术后焦虑评分Key words
Colorectal cancer/ Postoperative complications/ The Hamilton anxiety/ Postoperative anxiety scales分类
医药卫生引用本文复制引用
方超,向茜,唐林,胡宗莉,汪晓东,李立..结直肠肿瘤患者术后焦虑评分同术后并发症的相关性[J].昆明医学院学报,2012,33(1):61-66,6.基金项目
四川大学大学生创新性实验计划(376) （376）
四川大学科研训练计划(201011) （201011）
