Tolksdorf W, Merkel G, Rehder H, Rey E R, Berlin J
Anaesthesist. 1984 Jul;33(7):307-10.
In 61 male and female patients, the influence of the preoperative emotional state on vasovagal syncopes and anxiolytic medication during spinal anaesthesia for elective orthopaedic surgery was investigated. Male patients pretended to feel emotionally better than female patients, but had higher rates of anxiolytic medication and vasovagal syncopes. Patients in a bad (n = 8) and in a good emotional state (n = 3) received more anxiolytic medication than those with a mean emotional state. Vasovagal syncopes were registered in patients who pretended to feel good (n = 6), in those who felt bad (n = 4) and only in one patient of the mean group. The factors anxiety and depression were the most responsible for this result. The importance of coping-mechanisms for the development of psychological and psychophysiological reactions is discussed. Vasovagal syncope is interpreted as a psychophysiological reaction. In consequence it needs psychoprophylaxis.
在61名男性和女性患者中，研究了术前情绪状态对择期骨科手术脊髓麻醉期间血管迷走性晕厥和抗焦虑药物使用的影响。男性患者假装感觉比女性患者情绪更好，但抗焦虑药物使用率和血管迷走性晕厥发生率更高。情绪差的患者（n = 8）和好的患者（n = 3）比情绪状态中等的患者接受了更多的抗焦虑药物。假装感觉良好的患者（n = 6）、感觉不好的患者（n = 4）以及只有平均组中的一名患者出现了血管迷走性晕厥。焦虑和抑郁因素对此结果负有最大责任。讨论了应对机制对心理和心理生理反应发展的重要性。血管迷走性晕厥被解释为一种心理生理反应。因此，它需要心理预防。
