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目的了解不同治疗方式对急性阑尾炎患者情绪状态的影响。方法采用Zung编制的焦虑自评量表(SAS),抑郁自评量表(SDS)对不同治疗方式的154例急性阑尾炎患者进行焦虑、抑郁情绪状态进行测评。结果急性阑尾炎患者治疗前及治疗后72h均存在焦虑和抑郁情绪,与全国常模比较,差异有统计学意义(P<0.01);在焦虑情绪方面,腹腔镜手术组治疗后72h较治疗前有改善(P<0.05),而保守治疗组和开放手术组无改善(P>0.05);在抑郁情绪方面,各组治疗前与治疗后72h无改善(P>0.05)。住院时间腹腔镜组低于保守治疗组和开放手术组(P<0.05)。结论急性阑尾炎患者存在焦虑和抑郁情绪;腹腔镜手术治疗对患者焦虑情绪有较早的改善作用,并缩短住院时间。
Objective To understand the influence of different treatment methods on the emotional state of patients with acute appendicitis. Methods The anxiety and depression mood of 154 patients with different types of acute appendicitis were evaluated by self-rating anxiety scale (SAS) and depression self-rating scale (SDS). Results The patients with acute appendicitis had anxiety and depression at pre-treatment and post-treatment 72h, which was significantly different from the national norm (P <0.01). In terms of anxiety, the laparoscopic operation at 72h showed no significant difference (P <0.05), but there was no improvement in the conservative treatment group and the open surgery group (P> 0.05). In depression, there was no improvement at 72h in each group before and after treatment (P> 0.05). Hospitalization laparoscopic group was lower than conservative treatment group and open surgery group (P <0.05). Conclusions There is anxiety and depression in patients with acute appendicitis. Laparoscopic surgery can improve anxiety in patients earlier and shorten hospital stay.