酒精使用障碍和抑郁症患者在经历过腹部手术后
Kátia Cristina Oliveira1, Fernando Santa-Cruz2, Luciana Melo Souza Leão3
1Universidade Federal de Pernambuco, Postgraduate in Surgery - Recife (PE), Brazil.
概括
腹部外科手术没有显著增加酒精使用障碍 (AUD) 或手术后抑郁症的发生率. 虽然在袖子胃切除术后严重抑郁症略有下降,但整体AUD和抑郁症保持稳定,表明减肥手术.
科学领域:
- 腹腔外科手术的结果
- 外科手术患者的心理健康
- 酒精使用障碍 (AUD) 和抑郁症研究研究
背景情况:
- 与肥胖的非手术患者相比,腹部外科手术患者患酒精使用障碍 (AUD) 的风险是6-7倍.
- 有问题的酒精消费和抑郁症可能会增加腹部外科手术后的症状.
研究的目的:
- 评估减肥手术对AUD和抑郁症发病率的影响.
- 评估手套胃切除术 (SG) 和Roux-en-Y胃绕道术 (RYGB) 后AUD和抑郁症的术后变化.
主要方法:
- 对68名减肥手术患者 (SG或RYGB) 的前性研究.
- 使用AUD识别测试-C进行AUD的术前和术后评估.
- 使用贝克抑郁症目录 (BDI) 对抑郁症的术前和术后评估.
主要成果:
- 在手术前,92.6%的患者有AUD的低风险;在术后,89.7%的患者仍然有低风险,没有显著的变化.
- 在所有患者中,在术前和术后期间之间没有发现AUD或抑郁症的显著差异.
- 经过袖子胃切除术后,发现了严重抑郁症减少的趋势 (14.0%至7.0%,p=0.013).
结论:
- 腹部外科手术并没有显著改变酒精使用障碍 (AUD) 或抑郁症的发生率.
- 手术后的心理健康结果,包括AUD和抑郁症,在SG和RYGB之后似乎稳定.
- 袖子胃切除术可能与严重抑郁症的减少有关.
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