手術患者における不安とCO_2換気応答に関する研究

概要

論文の詳細を見る
It is a very important problem for the preoperative management to relieve the anxiety of surgical patients. The relationships among preoperative anxiety and respiratory sensitivity were investigated with 34 patients admitted to the National Cancer Center Hospital. They were subdivided into three groups according to their scores of MAS. They included 10 high, 15 medium And 9 low anxiety patients respectively. We measured the ratio ⊿V_E/P_<ETCO_2> and the ratio ⊿P_<0.1>/P_<ETCO_2> that has been termed the ventilatory response to CO_2 by rebreathing method. The results demostrated a negative correlation between V_E/P_ETCO., AP"/<PETCO_2> and trait-anxiety scores. Relation between trait-anxiety and the ventilatory response to CO_2 were discussed from the viewpoint of faciltating and blocking effects in the respiratory center by surgical stress. The ventilatory response to CO_2 may be seen as a psychological marker on the preoperative anxiety of surgical patients.
日本心身医学会の論文
1986-10-01