The Research Of The Influence Factors Of A Series Of Syndroms Related To Fatigue After Gynecologic Abdominal Surgery

ObjectivesTo understand that if the fatigue syndromes attacte the patients after Gynecologic abdominal surgery and how long it will last.The main purpose of the study is to observe the influence factors of the Postoperative Fatigue Syndrome, to provide basic data for the Rapid recovery clinical treatment plan to be plant.MethodsThe study uses the questiongnair survey method, the tool of the questionair is BPOM,VAS. The 117 cases of patients after gynecologic abdominal surgery collected from June,2008 to April,2009 in Guangdong Province Chinese medicine hospitial gynecology department.The data is disposaled by SPSS13.0, used the method of T-test and Spearman corelation analysis and so on.Results1.The fatigue score compiled on the third and seventh day after the Gynecologic abdominal surgery is more than that compiled before the surgery, and the fatigue score compiled on the sixty day after the Gynecologic abdominal surgery is fewer than that compiled before the surgery. Both of the results above are statistically significant (P<0.05).2. The fatigue score compiled from the people who sufferd the Gynecologic abdominal surgery is more than that compiled from the people who sufferd abdominal speculum surgery, the result has statistics significance (P<0.05), This result indicate that the operative ingury may be the influenting factor of the Postoperative Fatigue Syndrome.3. The fatigue score compiled on the third,seven,fourteenth days after the surgery increase with the operation time, the result has statistics significance (P<0.05); the fatigue score compiled on the thirty,sixtiy days after the surgery also increase with the operation time,but there has no statistics significance (P>0.05); This result hint that the operationtime may be the factor that influent the level of the fatigue which occurs on the earlier period of surgery.4. There is a positive correlation between the blood lost in the surgery and the fatigue socre compiled on the third day after the surgery (P<0.05), this tendency also appears on the seventh day, but there is no statistics significance (P>0.05); we have no enough clues to consider that there are positive correlations among the blood lost in the surgery and the fatigue socre compiled on the fourtheenth,thirty,sixty days afther the surgery (P>0.05), This result hint that the blood lost in the surgury may be the factor that influent the level of the fatigue which occur on the earlier period of the surgery.5. The fatigue scores compiled from the people who has a fever on the firt day after the surgury is more than that compiled from the people who don t have, there is statistics significance between the two groups (P<0.05).This result indicate that the fever occured after the surgury may be the influenting factor of the Postoperative Fatigue Syndrome.6.There are impositive correlations among the postoperative blood kalii contation and the fatigue socre compiled on the third,seventh days after the surgery (P<0.05).This result hint that the blood kalii contation after the surgury may be the factor that influent the level of the fatigue which occur on the earlier period of the surgery.7.The fatigue score cmpiled by the people who is older is more than that compiled by the yonger one, the result has statistics significance (P<0.05). This result indicates that the age of the patient is the influenting factor of the Postoperative Fatigue Syndrome.8. The preoperative BPOMS score compiled from the same patient is more than the postoperative one, the result has statistics significance (P<0.05). There is a positive correlation between the BPOMS score and the fatigue score compiled on the seventh,fourtheenth,thirty,sixty days after the surgery, there are statistics significances among them (r=0.24, P<0.05), This result indicates that the level of the tension,anxiety,fear of the operation before the surgury is higher than the postoperative level, the perioperative mental state of the patient may be the influenting factor of the Postoperative Fatigue Syndrome.9. There are correlations among the patient's cognition of the dieases and the fatigue score compiled on the third,seventh,thirty,sixty days after the surgery, there are statistics significances among them(<0.05);This tendency also appeard on the fourteenth day, but there is no statistics significance (P=0.08), there may be accuracy, so the patient`s cognition of the disease may be the influenting factor of the Postoperative Fatigue Syndrome.ConclutionThis study observes that the paticents after gynecologic abdominal surgery Suffered a series of syndroms related to fatigue, and it will last for one to two months.We also find that the age of the patient,operationg ingury,the patient`s cognition of the disease and the perioperative emontions are important factors related to the Postoperative Fatigue Syndrome. The operation time,blood losed in the surger,the postoperative fever and the postoperative blood kalii contation may be the factor that influent the level of the fatigue which occurs on the earlier period of the surgery. So we would cure the POFS effitiontly if we select eligible modus operandi,diminish the surgery injury,decurtate the operative time,decrease the blood lost in the surgery and disposal the postoperative fever and low kalium in time after the surgery,instrct the patients correctly in the perioperatiive time, accordingly we can diminish the postoperative recovery, so we provide basic data for the Rapid recovery clinical treatment plan to be plant and we also offer clinical evidences for the traditional medicine introducted in the perioperatiive time.