Perioperative anxiety and depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age range: aged 18 to 65 years; 2.Patients undergoing elective abdominal surgery; 3.Clear consciousness, no abnormal mentality, junior high school education level or above, can independently and accurately complete the assessment of the scale; 4.American Society of Anesthesiologists (ASA) classification I-III; 5.Patients with mild, moderate and severe anxiety and depression were evaluated by the Hospital Anxiety and Depression Scale (HADS); 6.Agree to include clinical observers.
Exclusion criteria
Exclusion criteria: 1.Long-term use of glucocorticoids, interferon and other immunomodulatory drugs; 2.Patients diagnosed with anxiety, depression, and schizophrenia in the past; those who are taking related drugs or who have undergone electroconvulsive therapy within one month during the onset of severe mental illness; 3.Patients with heart, brain, kidney, liver and other organ failure; 4.Patients who are contraindicated in the use of scopolamine, such as glaucoma, severe arrhythmia, and tachycardia; 5.Major intraoperative bleeding (blood volume >= 30% of systemic blood volume) is expected to occur, and vital signs are unstable; 6.A history of asthma and bronchospasm; 7.BMI>30; pregnant and lactating women; 8.Preoperative hypertension without drug control, severe hypertension: systolic blood pressure higher than 180mmhg.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospital Anxiety and depression scale;pittsburgh sleep quality index scale;Preoperative Amsterdam preoperative anxiety and information scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Immune inflammatory index ;Serum cortisol content and circadian rhythm change rate; | — |
Countries
China
Contacts
Guangdong Provincial People's Hospital