Yılmaz Yadigar, Durmayuksel Esra, Erturk Tuna, Inal Ferda Yılmaz, Yamac Dilek Metin, Ersoy Aysin
Sultan 2. Abdulhamid Han Education and Research Hospital Department of Anesthesiology and Reanimation, Istanbul 34668, Türkiye.
Bahçeşehir University Faculty of Health Sciences Nursing Department, Istanbul, Türkiye.
Anesthesiol Res Pract. 2024 Aug 19;2024:8827780. doi: 10.1155/2024/8827780. eCollection 2024.
The aim was to evaluate the effect of preoperative anxiety on the sympathetic block that developed after spinal anesthesia and therefore the duration of motor and sensory blockade.
After the approval of the ethics committee, 90 patients between the ages of 18 and 55 years who were to be operated under spinal anesthesia were included in the study. Preoperative anxiety of the patients was evaluated with the Spielberger trait and State Anxiety Scale and Visual Analog Scale (VAS). The Bromage scores of the patients were followed up intermittently. Onset time of sensory block, onset time of motor block, and motor block recovery time were recorded. Cases with bradycardia and hypotension were noted.
No statistically significant correlation was found between the duration of motor block onset (5.81 ± 4 min), the sensory block onset time (0.89 ± 0.4 min), and the motor block recovery time (92.06 ± 36.9 min) with other variables. VAS (5.81 ± 2.5), STAI-1 (40.4 ± 9.8), and STAI-2 (41.69 ± 8.2) values had a statistically significant effect on the occurrence of bradycardia (14.4%). The variables of VAS, STAI-1, STAI-2, sensory block onset, motor block onset, and motor block recovery time were statistically significantly higher in women (mean 5.24 ± 2.4, 38.97 ± 9.9, 41.43 ± 8.7, 0.89 ± 0.42, 5.64 ± 3.82, and 88.77 ± 38.74 in males and mean 7.15 ± 2.1, 43.74 ± 8.9, 42.30 ± 7.0, 0.88 ± 0.27, 6.20 ± 4.35, and 99.70 ± 31.70 in females, respectively).
It was observed that preoperative anxiety had no effect on motor and sensory block onset and duration.
本研究旨在评估术前焦虑对脊髓麻醉后发生的交感神经阻滞的影响，进而评估其对运动和感觉阻滞持续时间的影响。
经伦理委员会批准后，本研究纳入了90例年龄在18至55岁之间、将接受脊髓麻醉手术的患者。采用斯皮尔伯格特质焦虑量表、状态焦虑量表和视觉模拟量表（VAS）对患者的术前焦虑进行评估。间歇性随访患者的布罗麻评分。记录感觉阻滞的起效时间、运动阻滞的起效时间和运动阻滞的恢复时间。记录出现心动过缓和低血压的病例。
运动阻滞起效时间（5.81±4分钟）、感觉阻滞起效时间（0.89±0.4分钟）和运动阻滞恢复时间（92.06±36.9分钟）与其他变量之间未发现统计学上的显著相关性。VAS评分（5.81±2.5）、STAI-1评分（40.4±9.8）和STAI-2评分（41.69±8.2）对心动过缓的发生率（14.4%）有统计学上的显著影响。女性的VAS、STAI-1、STAI-2、感觉阻滞起效、运动阻滞起效和运动阻滞恢复时间等变量在统计学上显著高于男性（男性分别为5.24±2.4、38.97±9.9、41.43±8.7、0.89±0.42、5.64±3.82和88.77±38.74，女性分别为7.15±2.1、43.74±8.9、42.30±7.0、0.88±0.27、6.20±4.35和99.70±31.70）。
观察到术前焦虑对运动和感觉阻滞的起效及持续时间没有影响。
