目的:探讨减重患者术前术后的心理状态变化。方法:回顾性分析2021年1月至2023年6月在江苏省中医院普外科行减重手术的患者25例,对比减重手术前1天、手术当天、术后第1天、术后1个月患者心率变异性各参数(SDNN、SDANN、RMSSD、PNN50、LF、HF、LF/HF)的变化。结果:术前1天与手术当天的SDNN为(111.00 (100.5, 132.00) vs 96.00 (86.50, 111.50)、SDANN为96.00 (83.50, 124.00) vs 82.00 (74.50, 106.00), P 0.05,差异无统计学意义;术后1天与术后1个月:SDNN为89.00 (73.50, 116.50) vs 122.00 (93.00, 170.00)、SDANN为75.00 (51.50, 98.00) vs 86.00 (68.50, 134.50)、RMSSD为48.00 (28.50, 64.00) vs 60.00 (46.50, 70.00)、PNN50为11.92 (4.38, 19.29) vs 22.55 (8.03, 30.10),P Objective: To explore the preoperative and postoperative changes in the psychological state of weight loss patients. Methods: To retrospectively analyze 25 patients who underwent bariatric surgery at the General Surgery Department of Jiangsu Provincial Hospital of Chinese Medicine from January 2021 to June 2023 and to compare the changes of each parameter of heart rate variability (SDNN, SDANN, RMSSD, PNN50, LF, HF, and LF/HF) of the patients on the bariatric surgery, 1 day before the bariatric surgery, on the day of the surgery, on the 1st day of the surgery, and on the 1 month of the surgery. Results: Preoperative day 1 versus the day of surgery [SDNN (111.00 (100.50, 132.00) versus 96.00 (86.50, 111.50)], SDANN [96.00 (83.50, 124.00) versus 82.00 (74.50, 106.00)], P 0.05, the difference is statistically not significant;postoperative day 1 vs postoperative month 1: SDNN [ 89.00 (73.50, 116.50) vs 122.00 (93.00, 170.00)], SDANN [75.00 (51.50, 98.00) vs 86.00 (68.50, 134.50)], RMSSD [48.00 (28.50, 64.00) vs 60.00 (46.50. 70.00)], and PNN50 [11.92 (4.38, 19.29) vs 22.55 (8.03, 30.10)], P < 0.05, the difference is statistically significant. Conclusion: The psychological (depression-anxiety) status of the patients after bariatric surgery was improved compared with the preoperative period.
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