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Perioperative anxiety: psychobiology and effects in postoperative recovery

机译：围手术期焦虑：心理生物学及其对术后恢复的影响

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Anxiety is a frequent symptom during the perioperative period. This symptom has been found to correlate with high postoperative pain, increased analgesic and anaesthetic consumption, and prolonged hospital stay. In addition, anxiety may influence adversely the anaesthetic induction and patient recovery, as well as decrease patient satisfaction with perioperative experience. However, this overview has the objective of reviewing knowledge of perioperative anxiety — psychobiology, clinical repercussion and the effect of interventions used to control perioperative anxiety. Some historic aspects, the psychobiological mechanism, clinical repercussion of perioperative anxiety, and the effect of interventions used to control perioperative anxiety have been reviewed, as well as the role of perioperative anxiety upon anaesthesia, pain and patient recovery. Also, the effect of the approach used to control perioperative anxiety is presented. From this overview, it is evident that anxiety is of fundamental importance in perioperative morbidity. However, many questions have not been answered and new studies are needed to determine the effect of interventions used to control perioperative anxiety on postoperative outcomes.
机译：围手术期焦虑是一种常见症状。已发现该症状与术后疼痛高，止痛药和麻醉药用量增加以及住院时间延长有关。此外，焦虑症可能会对麻醉诱导和患者恢复产生不利影响，并降低患者对围手术期经验的满意度。但是，本概述的目的是回顾围手术期焦虑的知识-心理生物学，临床反应以及用于控制围手术期焦虑的干预措施的效果。回顾了一些历史性方面，围手术期焦虑的心理生物学机制，临床反应以及用于控制围手术期焦虑的干预措施的效果，以及围手术期焦虑在麻醉，疼痛和患者康复中的作用。此外，介绍了用于控制围手术期焦虑的方法的效果。从这一概述可以看出，焦虑对于围手术期发病率至关重要。但是，许多问题尚未得到解答，需要新的研究来确定用于控制围手术期焦虑对术后结局的干预措施的效果。

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