The Effect of Preoperative Anxiety on Motor and Sensory Block Duration and Effectiveness in Spinal Anesthesia.

IF 1.6 Q2 ANESTHESIOLOGY
Anesthesiology Research and Practice Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI:10.1155/2024/8827780
Yadigar Yılmaz, Esra Durmayuksel, Tuna Erturk, Ferda Yılmaz Inal, Dilek Metin Yamac, Aysin Ersoy
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Abstract

Introduction: The aim was to evaluate the effect of preoperative anxiety on the sympathetic block that developed after spinal anesthesia and therefore the duration of motor and sensory blockade.

Materials and methods: After the approval of the ethics committee, 90 patients between the ages of 18 and 55 years who were to be operated under spinal anesthesia were included in the study. Preoperative anxiety of the patients was evaluated with the Spielberger trait and State Anxiety Scale and Visual Analog Scale (VAS). The Bromage scores of the patients were followed up intermittently. Onset time of sensory block, onset time of motor block, and motor block recovery time were recorded. Cases with bradycardia and hypotension were noted.

Results: No statistically significant correlation was found between the duration of motor block onset (5.81 ± 4 min), the sensory block onset time (0.89 ± 0.4 min), and the motor block recovery time (92.06 ± 36.9 min) with other variables. VAS (5.81 ± 2.5), STAI-1 (40.4 ± 9.8), and STAI-2 (41.69 ± 8.2) values had a statistically significant effect on the occurrence of bradycardia (14.4%). The variables of VAS, STAI-1, STAI-2, sensory block onset, motor block onset, and motor block recovery time were statistically significantly higher in women (mean 5.24 ± 2.4, 38.97 ± 9.9, 41.43 ± 8.7, 0.89 ± 0.42, 5.64 ± 3.82, and 88.77 ± 38.74 in males and mean 7.15 ± 2.1, 43.74 ± 8.9, 42.30 ± 7.0, 0.88 ± 0.27, 6.20 ± 4.35, and 99.70 ± 31.70 in females, respectively).

Conclusion: It was observed that preoperative anxiety had no effect on motor and sensory block onset and duration.

术前焦虑对脊髓麻醉中运动和感觉阻滞时间及效果的影响。
导言研究的目的是评估术前焦虑对脊髓麻醉后交感神经阻滞的影响,进而评估运动和感觉阻滞的持续时间:经伦理委员会批准后,90 名年龄在 18 岁至 55 岁之间的脊髓麻醉手术患者被纳入研究。采用斯皮尔伯格特质与状态焦虑量表和视觉模拟量表(VAS)对患者的术前焦虑进行评估。对患者的 Bromage 评分进行间歇性跟踪。记录感觉阻滞开始时间、运动阻滞开始时间和运动阻滞恢复时间。记录了心动过缓和低血压病例:结果:运动阻滞起始时间(5.81 ± 4 分钟)、感觉阻滞起始时间(0.89 ± 0.4 分钟)和运动阻滞恢复时间(92.06 ± 36.9 分钟)与其他变量之间没有统计学意义上的相关性。VAS(5.81 ± 2.5)、STAI-1(40.4 ± 9.8)和 STAI-2(41.69 ± 8.2)值对心动过缓(14.4%)的发生有显著统计学影响。女性的 VAS、STAI-1、STAI-2、感觉阻滞起始时间、运动阻滞起始时间和运动阻滞恢复时间等变量在统计学上显著高于男性(平均值为 5.24±2.4、38.97±9.9、41.43±8.7、0.男性的平均值分别为(5.24±2.4)、(38.97±9.9)、(41.43±8.7)、(0.89±0.42)、(5.64±3.82)和(88.77±38.74);女性的平均值分别为(7.15±2.1)、(43.74±8.9)、(42.30±7.0)、(0.88±0.27)、(6.20±4.35)和(99.70±31.70):据观察,术前焦虑对运动和感觉阻滞的发生和持续时间没有影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
29
审稿时长
18 weeks
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