Umegaki H, Ono F, Kawasaki T, Fukunaga T, Shimizu A, Nishio H
Department of Anesthesia, Hirakata Municipal Hospital.
Masui. 1990 Aug;39(8):956-62.
To evaluate the causes of psychic disturbances after operation, three different psychological tests, Spielberger's rating scale "The State-Trait Anxiety Inventory (STAI)", Maudsley Personality Inventory (MPI) and Baum test, were performed during perioperative periods in 25 patients who received simple total hysterectomy. The score of the A-Trait analyzed from STAI that is trait anxiety, did not change significantly, while the score of the A-State analyzed from that, that is state anxiety, decreased significantly in postoperative period. Especially, the score of the A-State showed gradual decreasing tendency during perioperative period in the patients, who were classified as N+ group in MPI, showing the tendency of nervousness. On the contrary, in the patients of N- group, showing no tendency of nervousness, the score of the A-State increased significantly immediately before operation. In Baum test, most of the patients showed some psychological disturbances even during the postoperative period. From the Baum test, it was shown that they had psychologic fragility and lability even postoperatively, in spite of stabilization of general status.
为评估手术后精神障碍的原因，对25例行单纯全子宫切除术的患者在围手术期进行了三项不同的心理测试，即斯皮尔伯格评定量表“状态-特质焦虑问卷（STAI）”、莫兹利人格问卷（MPI）和鲍姆测试。从STAI分析得出的A-特质（即特质焦虑）得分无显著变化，而从其分析得出的A-状态（即状态焦虑）得分在术后显著降低。特别是，在MPI中被归类为N+组（表现出紧张倾向）的患者，其A-状态得分在围手术期呈逐渐下降趋势。相反，在无紧张倾向的N-组患者中，A-状态得分在手术前即刻显著升高。在鲍姆测试中，大多数患者即使在术后也表现出一些精神障碍。从鲍姆测试结果可知，尽管一般状况已稳定，但他们术后仍存在心理脆弱性和易变性。
