精神健康障碍作为患有直肠的年轻患者的危险因素
Ashlyn E Whitlock1, Kevin R Arndt2, Benjamin G Allar1
1Division of Colon and Rectal Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street, Suite 9B, Boston, MA, 02215, USA.
患有直肠的年轻患者有更高的精神健康障碍和独特的风险因素,如慢性疲劳. 结局与老年患者相似,两组的复发率都很低.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 精神病学是一个精神病学.
背景情况:
- 直肠 (RP) 通常影响老年人,但可以发生在没有典型风险因素的年轻人身上.
- 这项研究调查了年轻和年长的RP患者之间的医疗/精神健康,表现和结果的差异.
研究的目的:
- 为了比较40岁以下患者和40岁以上患者的直肠的特征和结果.
- 在年轻的患有直肠的患者中识别独特的风险因素和并发症.
主要方法:
- 一个单一中心对156名因直肠而接受腹部修复的患者进行了回顾性审查 (2005-2019).
- 患者被分为两组:年龄小于40岁和≥40岁.
主要成果:
- 较年轻的患者 (<40岁) 的确诊精神健康障碍率显着更高 (80%与41%相比),以及使用精神药物 (SSRI,SNRIs,抗焦虑药,抗精神病药).
- 年轻的患者出现了较少的手术前失禁,但更多的便秘.
- 复发率很低,在两个年龄组之间是可比的 (9.1%对11.6%).
结论:
- 患有直肠的年轻人表现出更高的精神健康诊断的患病率.
- 年轻患者的独特风险因素可能包括慢性疲劳,与老年患者经常出现的骨盆底松形成鲜明对比.
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