在患有结性脊柱炎的患者中,THA后焦虑和抑郁的变化以及影响因素
Hang Qian1, Xu Wang1, Pengbo Wang1
1Department of Orthopedics, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, People's Republic of China.
Therapeutics and clinical risk management
|August 21, 2023
概括
关节整形术显著改善了结性脊柱炎患者的焦虑和抑郁症. 患有关节软骨症的患者最初经历了更高的心理困扰,但在手术后表现出显著的改善.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 精神病学是一个精神病学.
背景情况:
- 关节缩是结性脊柱炎 (AS) 的常见并发症,显著影响患者的心理健康.
- 焦虑和抑郁症是患有关节病的AS患者中普遍存在的并发症.
研究的目的:
- 研究关节全整形术 (THA) 对结性脊柱炎患者焦虑和抑郁水平的影响.
主要方法:
- 接受初级THA治疗的AS患者根据手术前部移动性 (0° vs. >0°) 被分为两组.
- 心理评估 (SAS,SDS) 和功能评分 (HHS,SF-36) 在手术前和手术后3,6和12个月记录.
主要成果:
- 与具有可移动性的患者相比,患有关节缩症 (0度可移动性) 的患者在基线时表现出更高的焦虑和抑郁症得分.
- 这两组从基线到THA后12个月的焦虑和抑郁症显著减少.
- 改善的驱动因素有所不同:移动部的部疼痛缓解和关节功能,疾病持续时间,年龄和结部的脊椎病变.
结论:
- 焦虑和抑郁症在患有关节缩的AS患者中很常见,而THA提供了显著的心理益处.
- 部移动性的程度影响了基线心理状态和推动THA后改善的因素.
- 在评估AS患者THA后的心理结果时,应考虑脊柱损伤的严重程度.
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