面部整形手术中的边界性人格障碍诊断:一个大型数据库分析
F Jeffrey Lorenz1, Cheng Ma1, Alyssa K Givens1
1Department of Otolaryngology-Head and Neck Surgery Penn State Hershey Medical Center Hershey Pennsylvania USA.
OTO open
|May 30, 2025
概括
边界性人格障碍 (BPD) 影响了0.51%的面部整形手术患者,这些患者年轻,女性,精神病并发症率较高. 虽然BPD患者的术后急诊次数增加,但与基线比率相比,这些并没有显著增加.
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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 人们越来越多地寻求面部整形手术,需要了解患者的人口统计和心理情况.
- 边界性人格障碍 (BPD) 是一种复杂的心理健康状况,可能会影响手术结果和患者行为.
- 面部整形手术患者中BPD的患病率和特征仍未得到充分研究.
研究的目的:
- 在接受面部整形手术的患者中确定边缘性人格障碍 (BPD) 的患病率.
- 在这个患者群体中确定与BPD相关的人口和临床特征.
- 分析面部整形手术患者的术后结果,包括有或没有BPD的患者.
主要方法:
- 这是一项回顾性队列研究,通过TriNetX研究网络 (2012-2023) 利用来自美国80多个医疗保健机构的数据.
- 鉴定了接受了面部整形手术的患者,并比较了有和没有BPD诊断的患者.
- 分析了人口统计数据,临床并发症 (精神病,物质使用) 和术后结果 (ED访问,住院).
主要成果:
- 在60792名患者中,309名 (0.51%) 患有BPD. BPD患者较年轻 (平均年龄为45.0岁与54.7岁),女性更频繁 (77%与63.4%).
- BPD患者更有可能接受鼻美术,但不太可能接受白鼻美术或面部整形. 他们表现出更高的精神病和物质使用障碍率.
- BPD患者在3个月内有更高的术后急诊室访问率 (15.9%vs4.8%) 和住院率 (12.0%vs6.6%),尽管与他们自己的基线比率没有显著增加.
结论:
- 接受面部整形手术的边缘性人格障碍患者往往更年轻,女性,并具有更高的精神伴随性疾病负担.
- 虽然BPD与术后医疗保健利用率增加有关,但相对于基线的相对增加并不显著.
- 了解这些特征对于针对BPD面部整形手术患者进行量身定制的术前评估和术后护理至关重要.
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