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|本期目录/Table of Contents|

全胸腔镜与开胸手术对心脏病患者心理卫生状况的影响

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2009年第2期
页码:
255
栏目:
临床研究
出版日期:
2009-03-30

文章信息/Info

Title:
Effect of totally thoracoscopic surgery and median sternotomy on psychological status of patients
作者:
张志新; 俞世强; 徐学增; 王显悦
第四军医大学西京医院心血管外科,陕西 西安 710032
Author(s):
ZHANG Zhi-xin;  YU Shi-qiang;  XU Xue-zeng;  WANG Xian-yue
Center of Cardiovascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi’an 710032, Shaanxi, China
关键词:
全胸腔镜手术; 正中胸骨切开术; 心脏病; 先天性; 心理卫生状况
Keywords:
totally thoracoscopic surgery;  median sternotomy;  congenital heart diseases;  psychological status
分类号:
R654
DOI:
-
文献标识码:
A
摘要:
目的 分析全电视胸腔镜（totally thoracoscopic surgery，TTS）与正中开胸（median sternotomy，MS）心脏手术对患者心理卫生状况的影响。方法 选取 2007年12月～2008年5月30例行TTS下先天性心脏病畸形矫治术30例与同期行MS手术的患者33例。应用SCL-90症状自评量表对患者术后1周内心理卫生状况进行评定与分析。结果 两组间在躯体化、抑郁、焦虑及饮食睡眠方面差异显著(P<0.05)；接受TTS手术的患者术后1周内的心理状态明显好于MS组患者，性别、年龄、文化程度与患者术后心理卫生状况有相关性。结论 微创手术对于女性、年龄较小及文化程度高的患者心理状况有积极影响。
Abstract:
AIM To compare the effect of totally thoracoscopic surgery (TTS) and median sternotomy (MS) on the psychologic status of patients with congenital heart diseases. METHODS Thirty TTS-treated patients and 33 MS-treated patients were studied from Dec 2007 to May 2008. Symptoms Checklist (SCL-90) was employed to all the patients and the psychological status of the patients one week after operation was analyzed and compared. RESULTS The levels of somatization, anxiety, depression, diet and sleep in patients from TTS group were significantly higher than those in patients from MA group. One week after operation, the psychological status of TTS-treated patients was significantly better than that of MS-treated patients. Gender, age and education were correlated with the psychological status of patients after operation. CONCLUSION TTS has positive impact on the psychological status of the female, people of younger age and people of the higher education.

参考文献/References

[1］ 王显悦，俞世强，徐学增，等. 小儿全胸腔镜与常规开胸室间隔缺损修补术的比较研究［J］. 中国内镜杂志, 2007， 13(11):1121-1123.

［2］景璐石,张立,冯军,等. 围手术期的心理问题及心理康复措施［J］. 中国临床康复, 2002, 6(16):2430-2431.

［3］ Cohn LH, Adams DH, Couper GS, et al. Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair［J］. Arm Surg, 1997, 226(6):421-428.

［4］唐茂琴，张永善，胡蕾，等. 影响心外科病人手术前后心理状态的因素分析［J］. 现代康复, 2001, 5(3):26-27.

备注/Memo

备注/Memo:
收稿日期：2008-9-8. 通讯作者：俞世强，主任医师，主要从事微创心脏外科研究 Email：yushiq@fmmu.edu.cn 作者简介：张志新，医师，硕士Email：zzx1997@fmmu.edu.cn
更新日期/Last Update: 2009-04-16