本刊首页 > 期刊目次 > 帕罗西汀对面肌痉挛显微血管减压术围术期患者心理状态、疾病不确定感及睡眠质量的影响

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帕罗西汀对面肌痉挛显微血管减压术围术期患者心理状态、疾病不确定感及睡眠质量的影响

  • 王向辉

* 通信作者: 王向辉, 单位:郑州大学第三附属医院

摘要

【摘要】
目的:观察帕罗西汀对面肌痉挛显微血管减压术患者术前、术后的心理状态、疾病不确定感和睡眠质量各项评分的影响。

方法:选取我科2017年3月至2019年7月期间114例面肌痉挛择期行显微血管减压术患者作为研究对象,对照组57例给予微血管减压术治疗和围术期管理,观察者57例增加帕罗西汀治疗,对比两组患者术前、术后的心理状态,术后复杂性、不确定感评分及疾病不确定感总分及睡眠质量各分项评分。

结果:两组患者治疗后SAS评分、SDS评分与治疗前对比(P<0.05);治疗后观察组患者SAS评分、SDS评分与对照组对比(P<0.05)。两组患者治疗后复杂性、不确定性、疾病不确定感与治疗前对比(P<0.05)。治疗后观察组复杂性、不确定性、疾病不确定感与对照组对比(P<0.05)。两组患者治疗后睡眠质量各项指标与治疗前对比(P<0.05)。治疗后观察组睡眠质量各项指标与对照组对比(P<0.05)。

结论:帕罗西汀可明显改善面肌痉挛显微血管减压术围术期患者心理状态,减轻患者的不确定感,提高睡眠质量。

关键词:【关键词】帕罗西汀;面肌痉挛;显微血管减压术;心理状态;疾病不确定感

ABSTRACT

[Abstract]
Objective: To observe the effect of paroxetine on the psychological status, uncertainty of disease and scores of sleep quality in patients with facial muscle spasm microvascular decompression.

Methods: From March 2017 to July 2019, 114 patients with facial muscle spasm who underwent elective microvascular decompression were selected as the research object, and 57 patients in the control group were given microvascular decompression treatment and perioperative management to observe 57 patients were treated with paroxetine and compared the psychological status of the two groups of patients before and after the operation, postoperative complexity, uncertainty score and total score of disease uncertainty and sleep quality.

Results: The SAS score and SDS score of the two groups of patients after treatment were compared with those before treatment (P<0.05); the SAS score and SDS score of the observation group after treatment were compared with the control group (P<0.05). The complexity, uncertainty, and uncertainty of disease between the two groups after treatment were compared with those before treatment (P<0.05). The complexity, uncertainty and uncertainty of disease in the observation group after treatment were compared with the control group (P<0.05). The indexes of sleep quality after treatment in the two groups were compared with those before treatment (P<0.05). The indexes of sleep quality in the observation group after treatment were compared with the control group (P<0.05).

Conclusion  : Paroxetine can significantly improve the mental state of patients with facial muscle spasm during microvascular decompression, reduce the patient's sense of uncertainty, and improve sleep quality.

Key words: [Keywords] paroxetine; facial muscle spasm; microvascular decompression; mental state; disease uncertainty.

引用本文 / How to Cite This Article

王向辉.帕罗西汀对面肌痉挛显微血管减压术围术期患者心理状态、疾病不确定感及睡眠质量的影响[J]. 国际精神病学杂志, 2021, 48(2): 336-338

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