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目的:探讨甲状腺癌患者术前、术后的健康状态。方法:采用症状自评量表(SCL-90),对60例甲状腺癌患者术前、术后进行心率、血压和心理进行测查,并与正常人群对照。结果:1术前心率、收缩压、舒张压得分病例组高于对照组(t=8.569,5.616,5.177;P<0.01),术后心率、舒张压得分病例组高于对照组(t=5.244,2.329;P<0.05);2术前抑郁、焦虑、恐怖因子得分病例组高于对照组(t=23.913,25.430,22.269;P<0.01),术后躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执因子得分病例组高于对照组(t=15.637,4.346,8.261,35.581,38.738,11.704,48.345,7.645;P<0.01);3病例组心率、收缩压、舒张压得分术前高于术后(t=8.234,7.107,6.152;P<0.01);4病例组躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执因子得分手术后高于手术前(t=-30.168,-10.379,-18.156,-14.221,-19.634,-19.077,-16.634,-21.645;P<0.01)。结论 :甲状腺癌患者术前、术后存在明显生理和心理问题,需进行心理干预治疗。
Objective: To investigate the preoperative and postoperative thyroid cancer patients. Methods: 60 cases of thyroid cancer patients underwent preoperative and postoperative heart rate, blood pressure and psychological tests using the Symptom Checklist 90 (SCL-90) and compared with normal controls. Results: 1 Preoperative heart rate, systolic blood pressure and diastolic blood pressure score were higher in the case group than in the control group (t = 8.569,5.616,5.177; P <0.01). The postoperative heart rate and diastolic blood pressure score cases were higher than those in the control group (t = 5.244 , 2.329; P <0.05) .2 Preoperative depression, anxiety and terror factor scores were significantly higher in the case group than in the control group (t = 23.913,25.430,22.269; P <0.01) Anxiety, hostility, terror, paranoid factor score cases were higher than the control group (t = 15.637,4.346,8.261,35.581,38.738,11.704,48.345,7.645; P <0.01); 3 cases of heart rate, systolic blood pressure, diastolic blood pressure score The scores of somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, terror and paranoid factors in the 4 cases were significantly higher than those before the operation (t = 8.234,7.107,6.152, P < = -30.168, -10.379, -18.156, -14.221, -19.634, -19.077, -16.634, -21.645; P <0.01). Conclusion: There are obvious physiological and psychological problems in patients with thyroid cancer before and after surgery, and psychological intervention is needed.