2024 年第 6 期 第 19 卷

手术室精准干预和全程陪伴对术中唤醒功能区胶质瘤切除术患者焦虑抑郁状态的影响

Effect of precise intervention in operating room and whole-course companionship on anxiety and depression in patients undergoing glioma resection in eloquent areas

作者：张烁1刘晓楠1王伟1魏冬煜1孟楠1吴俊2

英文作者：Zhang Shuo1 Liu Xiaonan1 Wang Wei1 Wei Dongyu1 Meng Nan1 Wu Jun2

单位：1首都医科大学附属北京天坛医院手术室，北京100070；2首都医科大学附属北京天坛医院神经外科，北京100070

英文单位：1Operating Room Beijing Tiantan Hospital Capital Medical University Beijing 100070 China; 2Department of Neurosurgery Beijing Tiantan Hospital Capital Medical University Beijing 100070 China

关键词：胶质瘤；精准干预；唤醒手术；焦虑抑郁

英文关键词：Glioma;Precisionintervention;Awakeningsurgery;Anxietyanddepression

• 摘要：

• 目的 探讨手术室精准干预和全程陪伴对术中唤醒功能区胶质瘤切除术患者焦虑抑郁状态的影响。方法 选取2020年1月至2021年6月于首都医科大学附属北京天坛医院实施术中唤醒功能区胶质瘤切除术的患者88例。采用随机数字表法分为对照组和观察组，每组44例。对照组给予术中唤醒手术常规干预，观察组在此基础上给予精准干预和全程陪伴。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）对患者焦虑抑郁状态进行评估，采用满意度调查问卷评价患者对手术室工作的满意度，组间做比较。结果 术后3 d，2组患者SAS、SDS评分均低于本组术前1 d且观察组均低于对照组［组间：（33.0±3.6）分比（37.8±1.5）分、（33.9±2.1）分比（35.5±2.2）分］，差异均有统计学意义（均P<0.05）。观察组对手术室工作的总满意度高于对照组［97.7%（43/44）比86.4%（38/44）］，差异有统计学意义（P<0.001）。结论 手术室精准干预和全程陪伴有助于减轻术中唤醒功能区胶质瘤切除术患者术后焦虑、抑郁情绪，并提高患者对手术室相关工作的满意度。

• Objective To explore the effects of precise intervention in operating room and whole-course companionship on anxiety and depression in patients undergoing glioma resection in eloquent areas. Methods A total of 88 patients who underwent intraoperative awake functional area glioma resection in Beijing Tiantan Hospital, Capital Medical University from January 2020 to June 2021 were selected. The control group was given routine intervention of intraoperative wake-up surgery, and the observation group was given precise intervention and whole-process accompany on this basis. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate patients′ anxiety and depression, satisfaction questionnaire was used to evaluate patients′ satisfaction with operating room work, and the above indicators were compared between the two groups. Results The SAS and SDS scores of the two groups 3 d after operation were lower than those of the same group 1 d before operation, and the scores of the observation group were lower than those of the control group ［between groups: (33.0±3.6) vs (37.8±1.5), (33.9±2.1) vs (35.5±2.2)］(all P<0.05). The total satisfaction of the observation group was higher than that of the control group［97.7%(43/44) vs 86.4%(38/44)］(P<0.001). Conclusion Operating room precise intervention and whole-course companishment can help to reduce the postoperative anxiety and depression of patients with glioma resection in functional area, and improve the satisfaction of patients with operating room related work.