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术前抑郁症状对中期脊柱手术结果的影响:一项前性研究

Pablo Bellosta-López¹, Filippo Mandelli², Francesco Langella³

¹Universidad San Jorge, Campus Universitario, Autov. A23 Km 299, 50830, Villanueva de Gállego, Zaragoza, Spain.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|August 8, 2023

概括

经过脊髓手术的抑郁症患者表现出功能改善,但他们的结果仍然低于非抑郁症患者. 这凸显了对心理健康的定制护理和意识的需要.

科学领域:

整形外科整形外科整形外科
神经外科神经外科
精神病学是一个精神病学.

背景情况:

抑郁症状可以显著影响患者在重大手术后的结果.
了解脊柱手术后抑郁症患者的功能恢复轨迹对于有效管理至关重要.

研究的目的:

调查手术前抑郁症状对接受脊柱手术的患者临床结果的影响.
分析这些患者的功能障碍和心理健康状况的2年术后轨迹.

主要方法:

从一个机构的脊椎外科手术注册表 (2016-2022年) 来回顾分析了2164名患者 (年龄大于18岁).
排除了基线奥斯韦斯特里残疾指数 (ODI) <20的患者,宫脊椎手术或奇形脊柱形/创伤手术.
根据手术前的SF-36分数,患者被分为抑郁症 (心理组件总结[MCS] ≤35) 和非抑郁症 (MCS>35) 组. 小组分析比较了持续性抑郁症和从未出现过的抑郁症.

主要成果:

在所有时间点上,手术前抑郁症组的ODI得分明显高,MCS得分低于非抑郁症组 (P < 0.001).
与从未患有抑郁症的小组相比,持久性抑郁症小组在所有随访中显示出明显更高的ODI和较低的MCS (P < 0.001).

结论:

脊椎手术患者有抑郁症状经历功能和心理健康的改善,尽管他们没有达到非抑郁患者的水平.
患有抑郁症的患者在ODI和MCS分数方面表现出明显的2年术后轨迹.
医疗保健提供者应为患有抑郁症症状的患者提供咨询,并承认这些特定的结果模式.

关键词:

抑郁症抑郁症抑郁症障碍障碍是指残疾人的情况.心理健康心理健康奥斯威斯特里残疾人指数简短的形式 36 36 脊柱外科手术脊柱外科手术

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