腰大池置管持续引流对SAH患者术后焦虑、抑郁及认知功能的影响研究

The effect of continuous drainage of lumbar cistern drainage on the anxiety and depression of patients with SAH

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

河北定州市人民医院, ;
河北保定市第一医院血管外科 ;
河北邢台威县人民医院 ;

摘要
摘要 观察腰大池置管持续引流对自发性性蛛网膜下腔出血(SAH)患者术后的焦虑、抑郁的影响。方法 选取2011年9月至2015年9月我科收治的64例自发性性蛛网膜下腔出血患者,随机分为两组,对照组给予间断腰椎穿刺引流,观察组给予腰大池置管持续引流,治疗前及治疗后5d采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组患者焦虑、抑郁情况。结果 两组患者治疗前SAS及SDS评分间比较差异无统计学意义(P>0.05),通过手术治疗后两组患者SAS评分均下降,观察组降低幅度明显大于对照组,且差异有统计学意义(t=3.777,P<0.05);SDS评分也较治疗均有下降,但是观察组下降幅度更为明显,SDS评分明显低于对照组,且差异有统计学意义(t=2.622,P<0.05); 术后出现并发症给予对症治疗后,病情均好转,无死亡病例。观察组并发症总发生率为25.00%,对照组为66.67%,两组比较差异有统计学意义(P<0.05)。结论 与腰椎穿刺引流术相比,腰大池置管持续引流能更好的改善SAH患者术后焦虑、抑郁情绪,值得进一步推广应用。
Abstract
【Abstract】Objective To observe the effect of continuous drainage of lumbar cistern drainage on the anxiety and depression of patients with spontaneous subarachnoid hemorrhage (SAH). Methods We selected 64 cases of spontaneous subarachnoid hemorrhage in our department, were randomly assigned to two groups, control group was given intermittent lumbar puncture drainage, observation group given spinal cistern set tube continuous drainage, before treatment and after treatment for 5D by anxiety self rating scale (SAS), depression self rating scale (SDS) evaluation of two groups of patients with anxiety and depression. Results There was no significant difference in SAS and SDS scores between the two groups before treatment(P>0.05). After surgical treatment, the SAS scores of the two groups were decreased, the observation group was significantly higher than the control group, and the difference was statistically significant(t=3.777,P<0.05); SDS scores were also decreased, but the observation group was significantly lower than the control group, SDS score was significantly lower than the control group, and the difference was statistically significant(t=2.622,P<0.05); Postoperative complications after the treatment of symptomatic treatment, the condition was improved, no death case. The incidence of complications in the observation group was 25%, the control group was 66.67%, the difference between the two groups was statistically significant (P<0.05).Conclusion Compared with lumbar puncture and drainage, lumbar cistern drainage can improve the postoperative anxiety and depression of patients with SAH, and it is worth to be popularized and applied.
关键词
关键词 腰大池置管持续引流;蛛网膜下腔出血;焦虑;抑郁
KeyWord
【Key words】 Lumbar cistern continuous drainage; Subarachnoid hemorrhage;Anxiety;
基金项目
页码 122-124
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吴晓亮*,宋薇,刘宝顺, 张长理. 腰大池置管持续引流对SAH患者术后焦虑、抑郁及认知功能的影响研究 [J]. 国际精神病学杂志. 2017; 44; (1). 122 - 124.

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