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相关概念视频

Psychosurgery01:30

Psychosurgery

24
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
24

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相关实验视频

Updated: May 10, 2025

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
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在上肢截肢后的术后精神病学结果.

Christopher M Dussik1, Amy Phan1, Jeffrey Coombs1

  • 1Department of Orthopaedic Surgery, University of Rochester School of Medicine, Rochester, NY.

The Journal of hand surgery
|April 26, 2025
PubMed
概括

上肢截肢显著增加精神疾病的风险,更多的近端截肢导致心理健康问题的发病率较远.

关键词:
截肢是一种截肢.抑郁 抑郁症 抑郁症 抑郁症 是一种创伤后应激障碍 创伤后应激障碍精神病学的结果.上肢的上端部分.

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科学领域:

  • 整形外科 整形外科 整形外科
  • 精神病学是一个精神病学.
  • 公共卫生 公共卫生

背景情况:

  • 上肢截肢显著影响患者的形状和功能,特别是近端截肢.
  • 以前的心理结果研究仅限于单个机构.

研究的目的:

  • 评估在上肢截肢后发生的精神疾病的全人口发病率.
  • 为了比较不同截肢水平的精神病学结果.

主要方法:

  • 利用TrinetX数据库对接受上肢截肢患者 (2010-2022) 的数据.
  • 分析了使用国际疾病分类代码的心理健康状况的3年发生率.
  • 与一般和上肢手术患者群体的结果进行了比较,使用了奇平方测试和几率比率.

主要成果:

  • 25,091名患者接受了25,415名上肢截肢,创伤是最常见的原因.
  • 截肢在手腕或靠近手腕的截肢显示,与仅用手截肢相比,抑郁症,焦虑症,精神病,情绪障碍,药物滥用,PTSD和自杀倾向的发生率增加.
  • 除了一般焦虑症之外,所有精神病的结果在截肢后都比普通人群更高.
  • 与那些接受非截肢上肢手术的患者相比,截肢靠近手环的患者患精神疾病的几率增加了.

结论:

  • 大约六分之一的患者在截肢3年内患上精神疾病.
  • 与普通人群相比,截肢后精神疾病的发生率较高.
  • 更多的近端截肢与更高的精神疾病负担有关.