氟西汀对腰椎间盘突出症行微创手术治疗患者不良心理状态及术后疼痛的影响

Effect of fluoxetine on patients with lumbar disc herniation undergoing minimally invasive surgery for the treatment of unhealthy mental state and postoperative pain

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(4)
作者
作者单位

郑州市第六人民医院 ;

摘要
【摘要】 分析腰椎间盘突出症行微创手术治疗患者应用氟西汀治疗后不良心理状态及疼痛变化。方法 将我院111例腰椎间盘突出症患者采用随机数字表法分组,两组患者均行经皮椎间孔镜术治疗,在此基础上对照组55例术前给予常规心理干预,观察组56例在对照组基础上增加氟西汀口服治疗,对比两组患者干预前后焦虑抑郁情绪、术后疼痛及生活质量变化。结果 治疗后,观察组SAS、SDS评分低于对照组,SF-36评分高于对照组,术后1、3、7d VAS评分低于对照组(P<0.05)。结论 氟西汀能够有效消除腰椎间盘突出症围术期患者负面情绪,减轻术后疼痛,改善生活质量。
Abstract
[Abstract] Objective To analyze the unhealthy mental state and pain changes of patients with lumbar disc herniation undergoing minimally invasive surgery after fluoxetine treatment. Methods 111 patients with lumbar disc herniation in our hospital were grouped by random number table. Both groups of patients underwent percutaneous intervertebral foramenectomy. On this basis, 55 patients in the control group were given routine psychological intervention before operation, and 56 patients in the observation group Fluoxetine oral therapy was added to the control group to compare the changes in anxiety, depression, postoperative pain, and quality of life of the two groups of patients before and after intervention. Results After treatment, the SAS and SDS scores of the observation group were lower than those of the control group, the SF-36 score was higher than the control group, and the VAS scores were lower than those of the control group 1, 3, and 7 days after surgery (P<0.05). Conclusion Fluoxetine can effectively eliminate the negative emotions of patients with lumbar disc herniation during perioperative period, reduce postoperative pain, and improve the quality of life.
基金项目
页码 798-800
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郝光辉*. 氟西汀对腰椎间盘突出症行微创手术治疗患者不良心理状态及术后疼痛的影响 [J]. 国际精神病学杂志. 2020; 47; (4). 798 - 800.

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