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[围手术期焦虑——一项使用奥沙西泮的双盲研究]

[Anxiety in the perioperative phase--a double-blind study using oxazepam].

作者信息

Wisiak U V, Kröll W, List W F

出版信息

Anaesthesiol Reanim. 1989;14(2):113-8.

PMID:2663010
Abstract

Sixty women were asked to fill in questionnaires about their subjective feelings of anxiety when undergoing mammary operations. Every operation puts the patient under emotional stress, whereas anxiety is mainly caused by anaesthesia, operation and rehabilitation. It was possible to show that oxazepam has a significant effect in view of the reduction of the anxiety factor. The largest emotional stress is very obvious 2 hours before introducing anaesthesia when no placebo was administered in the premedication. Our patients showed the lowest degree of anxiety on the third postoperative day. In spite of pharmacological premedication it will always remain the task of the anaesthetist during his preoperative round to pay attention to the psychological situation of the patient especially with regard to anxiety.

摘要

60名女性被要求填写关于她们在接受乳房手术时焦虑主观感受的问卷。每次手术都会使患者处于情绪压力之下,而焦虑主要由麻醉、手术及康复引起。结果表明,奥沙西泮在降低焦虑因素方面有显著效果。在未给予术前用药安慰剂的情况下,引入麻醉前2小时情绪压力最大,这一点非常明显。我们的患者在术后第三天焦虑程度最低。尽管有药物术前用药,但麻醉师在术前查房时关注患者的心理状况,尤其是焦虑状况,仍始终是其职责所在。

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