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与临床抑郁症或非抑郁症患者相比,关节镜子下层压缩减压改善了情境抑郁症患者的结局
Dylan N Greif1, Hashim J F Shaikh1, James Neumanitis1
1University of Rochester Department of Orthopaedics and Physical Rehabilitation, Rochester, NY, USA.
JSES international
|March 11, 2024
概括
经过肩部缩镜并患有亚压缩 (SAD) 的患者,无论抑郁症如何,结果都得到改善. 抑郁症患者经历了更大的PROMIS评分变化,但抑郁症没有影响达到临床重要差异最小值 (MCID).
科学领域:
- 整形外科 整形外科 整形外科
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
背景情况:
- 下刺综合征是肩部疼痛的常见原因之一.
- 关节镜扩展脱bridement与下压缩 (SAD) 是一个标准的手术治疗.
- 患者报告的结果对于评估治疗成功至关重要.
研究的目的:
- 通过PROMIS系统评估患者报告的关节镜SAD后的SAD结果,以评估使用PROMIS系统的亚罗米亚入.
- 为了确定抑郁症 (临床或情境) 影响是否达到临床上重要的最小差异 (MCID).
主要方法:
- 在手术前和手术后收集了PROMIS身体功能 (PF),情绪和抑郁症 (Dep) 评分.
- 患者被分为临床抑郁症,情境抑郁症或非抑郁症组.
- 通过逻辑回归分析分析了MCID的成就,并考虑了吸烟状况等因素.
主要成果:
- 所有患者组在SAD后的PROMIS得分显著改善 (P=.001).
- 情境性抑郁症患者的PROMIS-Dep改善比患有严重抑郁症的患者要大.
- 抑郁症患者在PROMIS-Dep (P=0.01) 中获得MCID的可能性更高,但潜在的抑郁症并没有改变整体MCID的几率.
- 非吸烟患者在实现PF的MCID的几率明显更高 (P=.02).
结论:
- 肩部关节透视与SAD改善了结果,无论抑郁状态.
- 抑郁症与更大的PROMIS得分变化有关,但不一定会降低MCID的成就.
- 吸烟是SAD手术后后果较差的一个危险因素.
- 识别和咨询患有抑郁症状的患者可能会改善结果.
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