叶手术后焦虑的变化:一个系统的审查和元分析
Farhang Rashidi1, Samin Maleki1, Mohammadmahdi Sabahi2
1School of Medicine Tehran University of Medical Sciences Tehran Iran; Department of Neurosurgery Tehran University of Medical Sciences Tehran Iran.
Epilepsy & behavior : E&B
|February 9, 2025
概括
根据一个系统性审查,叶 (TLE) 手术显著降低了焦虑. 虽然一些焦虑量表显示改善,但其他没有,强调需要进一步研究TLE手术的结果.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 外科手术的结果
背景情况:
- 側頭葉 (TLE) 經常與精神疾病,尤其是焦慮症同時發生.
- 焦虑对TLE干预的反应,与和神经心理结果不同,缺乏系统的检查.
- 本综述系统地评估了TLE手术前后的焦虑变化.
研究的目的:
- 系统地审查和分析TLE手术对焦虑水平的影响.
- 综合现有的关于TLE患者手术前和手术后焦虑的证据.
- 为了确定在TLE手术后的焦虑评估中的趋势和不一致性.
主要方法:
- 对接受手术的TLE患者焦虑研究的系统文献综述.
- 搜索电子数据库,查找到2024年6月3日之前发表的相关研究.
- 包括18项研究,包括1403名耐火性TLE患者.
主要成果:
- 在包括的研究中,基线焦虑率从5.3%到35.1%不等.
- 使用汉密尔顿焦虑评分表观察到显著的焦虑减轻 (整体变化: -0.87,P < 0.001).
- 医院焦虑和抑郁量表也显示出显著的改善 (整体变化: -0.87,P = 0.02);州和地区焦虑清单 (STAI) 评分显示没有显著的变化.
结论:
- TLE手术与焦虑水平显著降低有关.
- 在特定的患者亚组 (例如,无) 中,关于焦虑变化的证据有限.
- 需要进一步的研究,以充分阐明TLE手术对焦虑的影响.
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