【摘要】 目的 研究全身麻醉腹部手術患者術前焦慮對術后疼痛、鎮痛藥用量及對術后鎮痛滿意度的影響。 方法 選取2009年8月-2010年4月68例ASAⅠ～Ⅱ級，擬行氣管插管全身麻醉的腹部手術患者，術前采用狀態-特質焦慮量表和抑郁評分量表進行焦慮程度的測評，術后觀察VAS疼痛評分、總的鎮痛藥用量以及患者對鎮痛的滿意度，分析術前焦慮與術后VAS評分、鎮痛藥用量及鎮痛滿意度的相關性。 結果 68例受試者術前STAI為50±13，BDI為16±13，術后VAS評分為4.0±2.1，術后24 h鎮痛藥芬太尼的用量為（0.80±0.21） mg；術后鎮痛藥用量、患者鎮痛滿意度評分與術前STAI明顯相關（r=0.68和r=-0.88，Plt;0.01）。術后VAS評分與術前STAI及BDI也有一定的相關（r=0.35和r=0.3）。 結論 術前焦慮程度可以影響腹部手術患者對鎮痛治療的滿意度， 顯著增加鎮痛藥用量。【Abstract】 Objective To investigate the effect of preoperative anxiety on postoperative pain, amount of analgesics and satisfaction of postoperative pain relief for patients undergoing abdominal surgery with general anesthesia. Methods A total of 68 patients undergoing abdominal surgery with general anesthesia from August 2009 to April 2010 were selected (ASA I-II). Preoperational anxiety levels were evaluated using State-Trait Anxiety Inventory (STAI) and Beck Depression Inventory (BDI) and postoperative VAS pain score, the total amount of analgesics used and satisfaction of pain relief were observed. The relationship between preoperative anxiety and post-operative VAS score, and total amount of analgesics used and satisfaction of pain relief were analyzed. Results The mean STAI and BDI of 68 samples were 50±13 and 16±13, respectively; the mean postoperative VAS was 4.0±2.1, and the mean amount of analgesics fentanyl used in 24 hours after the operation was (0.80±0.21) mg; the amount of post-operative analgesics used and the satisfaction of pain relief of the patients were found to be highly related to pre-operative STAI (r=0.68, -0.88; Plt;0.01). Post-operative VAS score was also related to preoperational STAI and BDI (r=0.35, 0.3). Conclusion Preoperative anxiety is closely related to the postoperative analgesics and satisfaction of pain relief for patients who had abdominal operation. Severe preoperative anxiety can significantly increase the amount of postoperative analgesics used and dissatisfaction of pain relief.