鉴定激进囊切除术后患有抑郁症的患者
Ziv Savin1, Snir Dekalo1, Liron Ben Dayan1
1Department of Urology, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
概括
抑郁症在急性囊切除术后的膀癌患者中很常见,通常在手术后恶化. 没有先前抑郁症的患者有更高的风险,复发是长期关键因素.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 膀癌的激进囊切除术是一种重大的手术,具有显著的身体和心理影响.
- 抑郁症是癌症患者常见的并发症,可能会影响治疗结果和生活质量.
研究的目的:
- 评估为膀癌进行激进囊切除术的患者抑郁症状的患病率和进展情况.
- 为了确定这种患者群体中抑郁症的预测因素.
主要方法:
- 用贝克抑郁症库存 (BDI) 评估了42名接受激进囊切除术的患者队列.
- 评估是在手术前,手术后的第6天,手术后6周和手术后12-18个月进行的.
主要成果:
- 抑郁症状的发病率 (BDI分数≥10) 从手术前的36%增加到术后的64%在第6天和69%在六周.
- 抑郁症得分在术后显著增加,在六周达到顶峰. 没有手术前抑郁症的患者表现出更大的增加.
- 疾病复发是手术后12-18个月抑郁症的最重要的预测因素.
结论:
- 抑郁症非常普遍,并且在膀癌的激进囊切除术后显著进展.
- 没有先前存在抑郁症状的患者患上术后抑郁症的风险增加.
- 膀癌的复发是长期抑郁症的主要危险因素,需要针对性干预.
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