儿童中创伤后压力症状的发生率
Collin May1, Patricia E Miller, Manahill Naqvi
1From the Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA.
概括
15%的儿童和青少年在骨科创伤手术后出现创伤后应激障碍 (PTSD) 症状. 女性性别,年龄较大,和之前的手术增加了PTSD风险,需要警的查和干预.
科学领域:
- 儿科整形医生 儿科整形医生
- 创伤外科 手术 创伤外科
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 骨科创伤手术在儿童和青少年可以导致显著的心理痛苦.
- 创伤后应激障碍 (PTSD) 是一种潜在的并发症,需要对其发生率和风险因素进行调查.
研究的目的:
- 为了确定创伤后应激障碍 (PTSD) 症状在骨科创伤手术后的儿科患者中的发生率.
- 在这个人群中确定与PTSD症状发展相关的风险因素.
主要方法:
- 在一级创伤中心进行的前性队列研究.
- 包括176名儿童和青少年 (8-18岁) 接受上肢和下肢骨科创伤手术.
- 在术后随访时使用儿童PTSD症状量表 (CPSS) 评估PTSD症状.
主要成果:
- 在15%的研究参与者 (95% CI = 10.0~21.1%) 中观察到高水平的PTSD症状.
- 与增加PTSD症状显著相关的危险因素包括女性性别 (OR 2.63),手术时的年龄 (OR 1.25) 和之前手术史 (OR 2.86).
结论:
- 在骨科创伤手术后,显著的比例的儿童和青少年会出现PTSD症状.
- 临床医生应在儿科患者中实施全面的PTSD查,以确保早期检测和治疗.
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