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使用视觉模拟量表预测术前血流动力学变化

Predicting Preoperative Hemodynamic Changes Using the Visual Analog Scale.

作者信息

Tanaka Noriyoshi, Ohno Yuko, Hori Megumi, Utada Mai, Ito Kenji, Suzuki Toshiyasu, Furukawa Fumiko

出版信息

J Perianesth Nurs. 2015 Dec;30(6):460-467. doi: 10.1016/j.jopan.2014.02.005. Epub 2014 Nov 13.

DOI:10.1016/j.jopan.2014.02.005
PMID:26596381
Abstract

PURPOSE

This study aimed to investigate how both visual analog scale cutoff scores and State-Trait Anxiety Inventory scores relate to hemodynamic changes in patients entering the operating theater.

DESIGN

A prospective observational study.

METHODS

The study subjects included 130 prospectively enrolled patients who were scheduled for abdominal surgery under combined epidural-general anesthesia and who underwent preoperative anxiety level measurements using both scales.

FINDINGS

The heart rate and systolic blood pressure on entering the operating theater were significantly higher than those at baseline in the high and low/moderate anxiety groups. Variations in heart rate and systolic blood pressure were significantly higher, whereas peripheral blood flow was significantly lower in the high anxiety group compared with the low/moderate anxiety group.

CONCLUSIONS

Using the visual analog scale to measure anxiety can improve our understanding of the hemodynamic changes that occur when patients enter the operating theater.

摘要

目的

本研究旨在调查视觉模拟量表截断分数和状态-特质焦虑量表分数与进入手术室的患者血流动力学变化之间的关系。

设计

一项前瞻性观察性研究。

方法

研究对象包括130名前瞻性招募的患者,这些患者计划接受硬膜外-全身联合麻醉下的腹部手术,并使用这两种量表进行术前焦虑水平测量。

结果

高焦虑组和低/中度焦虑组进入手术室时的心率和收缩压显著高于基线水平。与低/中度焦虑组相比,高焦虑组的心率和收缩压变化显著更高,而外周血流量显著更低。

结论

使用视觉模拟量表测量焦虑可以增进我们对患者进入手术室时发生的血流动力学变化的理解。

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