术前合并焦虑对子宫内膜癌根治术后恢复、免疫功能及血清肿瘤标志物的影响

Effect of preoperative anxiety on postoperative recovery, immune function and serum tumor markers in patients with endometrial cancer after radical operation

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(3)
作者
作者单位

河南科技大学第一附属医院手术部 ;

摘要
摘要: 目的:研究术前合并焦虑对子宫内膜癌根治术后恢复、免疫功能及血清肿瘤标志物的影响。方法:选取我院146例接受过子宫内膜癌根治术的子宫内膜癌患者,其中纳入我院术前确诊为焦虑症状患者73例计为焦虑组,另选无焦虑患者73例计为非焦虑组,观察3个月后两组康复情况、自我护理能力(ESCA)、血清肿瘤标志物[糖类抗原125(CA125)、人附睾分泌蛋白4(HE4)]及免疫功能指标[CD3+、CD4+、CD8+、CD4+/CD8+,CA125、HE4]水平、疼痛程度(VAS)和生活质量(SF-36)。结果:焦虑组患者康复情况显著低于非焦虑组(P<0.05),ESCA评分显著低于非焦虑组(P<0.05),两组CA125、HE4、CD3+、CD4+、CD8+水平比较无差异统计学意义(P>0.05),焦虑组CD4+/CD8+水平显著低于非焦虑组(P<0.05),VAS评分显著高于非焦虑组(P<0.05),SF-36显著低于非焦虑组(P<0.05)。结论:术前合并焦虑会减慢患者子宫内膜根治术术后恢复速度,使患者机体免疫功能失调、降低患者生活质量,因此临床上要多注意患者术前心理状况,针对患者情况采取适当心理干预措施。
Abstract
Abstract:Objective:To study the effect of preoperative anxiety on postoperative recovery, immune function and serum tumor markers of endometrial cancer. methods:a total of 146 patients with endometrial cancer who had undergone radical hysterectomy in our hospital were selected, Among them, 73 patients diagnosed with anxiety symptoms before operation were included as anxiety group, and 73 patients without anxiety were included as non anxiety group, After 3 months, the recovery, self-care ability (ESCA), serum tumor markers (CA125, HE4), immune function indexes (CD3+, CD4+, CD8+, CD4+/CD8+, CA125、HE4), pain degree (VAS) and quality of life (SF-36) were observed. Results:There was no significant difference in the levels of CA125, HE4, CD3 +, CD4 +, CD8 + between the two groups (P > 0.05). The level of CD4 + / CD8 + in anxiety group was significantly lower than that in non anxiety group (P < 0.05), VAS score was significantly higher than that in non anxiety group (P < 0.05), and SF-36 was significantly lower than that in non anxiety group (P < 0.05)。Conclusion:Preoperative anxiety can slow down the recovery rate of patients after radical hysterectomy, make the immune function disorder and reduce the quality of life of patients. Therefore, we should pay more attention to the psychological status of patients before operation and take appropriate psychological intervention measures according to the situation of patients.
关键词
关键词:焦虑;子宫内膜癌根治术;免疫功能;血清肿瘤标志物
KeyWord
Keywords:Anxiety; Radical resection of endometrial carcinoma; immunity; Serum tumor markers
基金项目
页码 478-481
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吉晖晖*. 术前合并焦虑对子宫内膜癌根治术后恢复、免疫功能及血清肿瘤标志物的影响 [J]. 国际精神病学杂志. 2021; 48; (3). 478 - 481.

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