经口内镜下肌切开术对贲门失弛缓症患者围术期心理状态及临床症状的影响
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摘要
目的探讨经口内镜下肌切开术(POEM)对贲门失弛缓症(AC)患者围术期心理状态及临床症状的影响。方法我院收治57例AC患者,均行POEM治疗,比较手术前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、ECKARDT症状评分及36项健康调查简表(SF-36)评分变化。结果所有患者均手术成功。患者术后SAS、SDS评分均较术前明显降低(P<0. 05)。术后6个月,患者ECKARDT评分与术前比较差异有统计学意义,SF-36量表各维度评分均较术前明显增高(P <0. 05)。结论 AC患者行PEOM治疗能够显著改善患者心理状态及临床症状,提高生活质量。
Objective To investigate the effect of peroral endoscopic myotomy( POEM) on perioperative psychological state and clinical symptoms in patients with achalasia( AC).Methods Fifty-seven patients with AC admitted to our hospital were treated by POEM.The changes in scores of self-rating anxiety scale( SAS),self-rating depression scale( SDS),ECKARDT symptoms and 36-item short form( SF-36) were compared before and after surgery.Results All patients' surgeries were successful. The SAS score and SDS score of patients after surgery were significantly lower than those before surgery( P <0. 05).The ECKARDT score after 6 months of surgery was significantly different when compared with that before surgery( P < 0. 05). The scores of different dimensions in the SF-36 scale after surgery were significantly higher than those before surgery( P <0. 05).Conclusion PEOM for AC can significantly improve the psychological state and relieve the clinical symptoms in patients,and improve their quality of life.
Objective To investigate the effect of peroral endoscopic myotomy( POEM) on perioperative psychological state and clinical symptoms in patients with achalasia( AC).Methods Fifty-seven patients with AC admitted to our hospital were treated by POEM.The changes in scores of self-rating anxiety scale( SAS),self-rating depression scale( SDS),ECKARDT symptoms and 36-item short form( SF-36) were compared before and after surgery.Results All patients' surgeries were successful. The SAS score and SDS score of patients after surgery were significantly lower than those before surgery( P <0. 05).The ECKARDT score after 6 months of surgery was significantly different when compared with that before surgery( P < 0. 05). The scores of different dimensions in the SF-36 scale after surgery were significantly higher than those before surgery( P <0. 05).Conclusion PEOM for AC can significantly improve the psychological state and relieve the clinical symptoms in patients,and improve their quality of life.
引文
[1]曹占国,赵宏志.贲门失弛缓症的治疗现状及进展[J].中国中西医结合外科杂志,2016,22(5):514-517.
[2]沃静波,许国强,陈洪潭,等.经口内镜下肌切开术治疗44例贲门失弛缓症的疗效观察[J].中国内镜杂志,2016,22(11):1-5.
[3]马晓冰,令狐恩强,李惠凯,等.经口内镜下肌切开术治疗贲门失弛缓症安全性和有效性的影响因素[J].南方医科大学学报,2016,36(7):892-897.
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[5]赵威,郑忠青,郭海英,等.经口内镜下肌切开术与球囊扩张治疗贲门失弛缓症的对照研究[J].中华消化杂志,2016,36(9):577-581.
[6]王征宇,迟玉芬.焦虑自评量表(SAS)[J].上海精神医学,1984,6(2):73-74.
[7]王征宇,迟玉芬.抑郁自评量表(SDS)[J].上海精神医学,1984,6(2):71-72.
[8]Eckardt V F,Aignherr C,Bernhard G.Predictors of outcome in patients with achalasia treated by pneumatic dilation[J].Gastroenterology,1992,103(6):1732-1738.
[9]Ujiki MB,Yetasook AK,Zapf M,et al.Peroral endoscopic myotomy:A short-term comparison with the standard laparoscopic approach.[J].Surgery,2013,154(4):897-900.
[10]李卓然,贾国法,吴丽颖,等.经口内镜下肌切开术患者围手术期心理状况分析及护理[J].蚌埠医学院学报,2014,39(9):1307-1308.
[11]付移妹,张贤明,冯春梅.心理认知干预辅助综合性康复训练对高血压脑出血后偏瘫患者心理状态和肢体功能恢复的影响[J].中国健康心理学杂志,2018,26(6):859-862.
[12]张弘炎,邹英,李锐,等.心理护理在经口内镜下环形肌切开术治疗贲门失弛缓症患者中的应用[J].中华现代护理杂志,2015,21(5):511-513.
[13]杨凤,刘俐,杨梅,等.经口内镜下环形肌切开术治疗贲门失弛缓症的术后护理[J].中国临床研究,2018,31(2):286-288.
[2]沃静波,许国强,陈洪潭,等.经口内镜下肌切开术治疗44例贲门失弛缓症的疗效观察[J].中国内镜杂志,2016,22(11):1-5.
[3]马晓冰,令狐恩强,李惠凯,等.经口内镜下肌切开术治疗贲门失弛缓症安全性和有效性的影响因素[J].南方医科大学学报,2016,36(7):892-897.
[4]沃静波,许国强,陈洪潭.内镜治疗贲门失弛缓症的进展[J].医学综述,2016,22(15):3007-3010.
[5]赵威,郑忠青,郭海英,等.经口内镜下肌切开术与球囊扩张治疗贲门失弛缓症的对照研究[J].中华消化杂志,2016,36(9):577-581.
[6]王征宇,迟玉芬.焦虑自评量表(SAS)[J].上海精神医学,1984,6(2):73-74.
[7]王征宇,迟玉芬.抑郁自评量表(SDS)[J].上海精神医学,1984,6(2):71-72.
[8]Eckardt V F,Aignherr C,Bernhard G.Predictors of outcome in patients with achalasia treated by pneumatic dilation[J].Gastroenterology,1992,103(6):1732-1738.
[9]Ujiki MB,Yetasook AK,Zapf M,et al.Peroral endoscopic myotomy:A short-term comparison with the standard laparoscopic approach.[J].Surgery,2013,154(4):897-900.
[10]李卓然,贾国法,吴丽颖,等.经口内镜下肌切开术患者围手术期心理状况分析及护理[J].蚌埠医学院学报,2014,39(9):1307-1308.
[11]付移妹,张贤明,冯春梅.心理认知干预辅助综合性康复训练对高血压脑出血后偏瘫患者心理状态和肢体功能恢复的影响[J].中国健康心理学杂志,2018,26(6):859-862.
[12]张弘炎,邹英,李锐,等.心理护理在经口内镜下环形肌切开术治疗贲门失弛缓症患者中的应用[J].中华现代护理杂志,2015,21(5):511-513.
[13]杨凤,刘俐,杨梅,等.经口内镜下环形肌切开术治疗贲门失弛缓症的术后护理[J].中国临床研究,2018,31(2):286-288.