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关节透术后抑郁症得分下降 对于 Femoroacetabular 阻塞综合征

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概括

关节镜部手术显著改善了患有手术前症状的患者的抑郁症. 那些患有手术前临床抑郁症 (CD) 的患者在手术后取得了与非抑郁症患者相似的功能结果.

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科学领域:

  • 整形外科手术 整形外科手术
  • 精神病学是一个精神病学.
  • 患者报告的结果

背景情况:

  • 雌腺腹塞综合征 (FAIS) 可以影响生活质量.
  • 手术前的抑郁症状可能会影响手术的结果.
  • 评估抑郁症对于整形手术中全面的患者护理至关重要.

研究的目的:

  • 评估临床抑郁症评分和FAIS关节镜治疗后的功能结果.
  • 为了比较患有和没有手术前抑郁症状的患者的结局,根据抑郁症患者报告结果测量信息系统 (PROMIS-D) 的定义.

主要方法:

  • 100名FAIS患者在术前和术后完成了PROMIS-D和其他PRO.
  • 根据手术前的得分,患者被分为临床抑郁症 (CD,PROMIS-D得分≥55) 和非临床抑郁症 (NCD).
  • 结果在术后6个月和≥1年后进行评估.

主要成果:

  • 21%的患者患有手术前的CD;在CD和NCD组之间没有发现人口或放射学差异.
  • 患病组在一年后的PROMIS-D得分显著改善 (-9.1比-0.8,P=.001).
  • 在CD和NCD组之间,在实现患者可接受的症状状态方面没有发现显著差异.

结论:

  • 关节镜部手术导致FAIS患者患有手术前CD的抑郁症状显著改善.
  • 术前抑郁症不会对实现临床上重要的最小差异或患者可接受的关节镜后症状状态产生负面影响.