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抑郁症对接受ACL重建的儿科患者康复结果的影响:一项回顾性研究

Jared B Hinton¹, Ryan Sefcik², Michael Burdyny²

¹Department of Medicine, Northeast Ohio Medical University, Rootstown

Journal of pediatric orthopedics

|July 15, 2025

概括

儿科抑郁症影响前十字带 (ACL) 重建恢复,导致更多的止痛药,硬度和重复手术. 综合心理健康护理对于年轻患者获得更好的治疗结果至关重要.

科学领域:

整形外科手术整形外科手术
儿科医学儿科医学儿科医学
精神病学是一个精神病学.

背景情况:

儿科抑郁症的发病率正在上升,这可能会影响前十字带 (ACL) 重建后的恢复.
目前关于肌肉骨损伤心理影响的研究主要集中在成年人身上,在了解儿科ACL患者的结果方面存在差距.
抑郁症对儿科ACL重建患者手术后恢复的影响需要进一步调查.

研究的目的:

为了确定抑郁症是否与接受ACL重建的儿科患者手术后结果的变化有关.
评估手术前抑郁和疼痛,身体功能,药物使用和ACL手术后的再手术率之间的关联.
调查抑郁症对关节硬,排泄,步态和止痛药使用等特定结果的影响.

主要方法:

一项回顾性队列研究利用了TriNetX全球协作网络.
接受关节镜ACL重建的儿科患者 (≤18岁) 被分为"ACL + 抑郁症"和"ACL - 抑郁症"组.
倾向性得分匹配对种族和性别进行控制,结果在手术后6个月评估.

主要成果:

"ACL + 抑郁症"组显示,非阿片类药物 (21.5%) 和阿片类止痛药 (21.8%) 的使用显著增加,关节硬度增加 (17.2%) 和膝盖溢出 (14.1%).
报告的膝盖疼痛水平在各组之间是相似的 (39.5%对34.5%).
在抑郁症组 (8.8%) 发现了增加步行异常的趋势,随后的ACL重建发生在2.8%的抑郁症组,而非抑郁症组的0% (P=0.001).

结论:

儿科ACL重建患者的抑郁症与增加的药物需求,身体恢复挑战和更高的重新手术率有关.
尽管疼痛程度相似,但抑郁症会使康复复复杂化,这突显了综合身体和精神健康护理的必要性.
一种多学科的方法,包括早期心理健康查和支持,可以提高这一患者群体的术后结果.

关键词:

在ACL中,ACL是ACL.结果的结果.抑郁抑郁症抑郁症抑郁症是一种儿科儿科儿科康复康复康复康复康复康复

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