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
膀切除术后的膀癌患者中抑郁症很常见,许多患者在手术后出现恶化的症状. 复发显著影响长期抑郁,表明需要有针对性的干预措施.
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:
- 膀癌患者经历了急性囊切除术,经历了显著的抑郁率.
- 手术前和手术后的抑郁症是这一患者群体的关键问题.
研究的目的:
- 为了评估经过激进囊切除术的膀癌患者的抑郁率.
- 为了确定这些患者抑郁症的预测因素.
主要方法:
- 利用贝克的抑郁症库存 (BDI) 来评估42名患者的抑郁症状.
- 评估是在手术前进行的,在术后的第6天,在术后的6周和12-18个月.
主要成果:
- 抑郁症的患病率 (BDI分数≥10) 从手术前的36%增加到手术后六周的69%.
- 抑郁症得分在术后显著恶化,特别是在没有先前症状的患者中.
- 12-18个月后疾病复发与抑郁症得分显著增加有关.
结论:
- 在囊切除术患者中观察到高抑郁率和显著的术后进展.
- 没有术前抑郁症状的患者患术后抑郁症的风险更高.
- 癌症复发是12-18个月抑郁症的主要危险因素,需要进行干预.
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