在前十字带重建之前的术前焦虑是术后疼痛的危险因素
Louis Idier1, Mohamad K Moussa1,2, Nicolas Lefèvre1
1Clinique du sport, Paris, France.
概括
高度的手术前焦虑增加了前十字带 (ACL) 重建后的手术后疼痛. 查焦虑和提供心理支持可以帮助减少疼痛和改善恢复.
科学领域:
- 整形外科 整形外科 整形外科
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 手术前的焦虑是接受前十字带 (ACL) 重建的患者的常见问题.
- 术前焦虑对术后疼痛的影响仍然是一个需要进一步研究的领域.
研究的目的:
- 为了研究手术前焦虑的影响,通过手术恐惧问卷 (SFQ) 测量,在ACL重建后的手术后疼痛.
- 为了确定高的手术前焦虑是否是增加手术后疼痛的危险因素.
主要方法:
- 从628名接受初级ACL重建的患者的前性数据的回顾性分析.
- 患者被分为低焦虑 (SFQ < 30) 和高焦虑 (SFQ ≥ 30) 组.
- 倾向性得分匹配被用来比较基于年龄,性别和手术前的Lysholm得分的群体,最终分析包括了334名患者.
主要成果:
- 与低焦虑组相比,在所有测量时间点 (0-3天) 中,患有高手术前焦虑症的患者 (高SFQ组) 报告了显著更高的术后疼痛评分 (VAS).
- 与高SFQ组相比,低SFQ组的患者比例显著增加,达到患者可接受的症状状态 (PASS) 疼痛值.
- 在手术后的第三天,64.1%的低焦虑症患者达到PASS值,高焦虑症患者的这一比例为45.5%.
结论:
- 高度的手术前焦虑是经历ACL重建后更大的手术后疼痛的重要风险因素.
- 手术前的焦虑查和有针对性的心理干预应纳入预康复方案.
- 解决手术前的焦虑可能会导致早期手术后疼痛减少,并改善ACL重建患者的康复结果.
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