神经病变与手术治疗近腰骨骨折后的功能结果有关
Denise E de Gruijter1, Leanne S Blaas1, Kelly van Winden1
1Department of Trauma Surgery, Zaandam Medical Center, Zaandam, The Netherlands.
JSES international
|July 24, 2025
概括
在手术后从近腰骨骨折 (PHF) 恢复过来的患者中,较高的神经病态水平与功能结果较差相关. 这凸显了心理因素在PHF恢复中的重要性.
科学领域:
- 整形外科手术 整形外科手术
- 心理医学 心理医学
- 康复科学 康复科学 康复科学
背景情况:
- 已知物理因素会影响近腰骨骨折 (PHF) 后的结果.
- 新出现的证据表明,心理因素也起着重要作用.
- 神经性,一个人格特征,在PHF恢复中可能特别重要.
研究的目的:
- 调查神经病症水平与功能结果之间的相关性.
- 检查PHF进行手术治疗的患者的结果.
主要方法:
- 对手术治疗PHF患者的回顾性队列分析,至少进行1年的随访.
- 评估肩部运动范围和功能评分 (常态肩部评分,牛津肩部评分,手臂,肩和手的快速残疾).
- 使用Eysenck人格问卷 (简短修订版) 测量神经病症水平.
主要成果:
- 包括65名患者;89%是女性,平均年龄为72.3岁.
- 较高的神经性与较低的恒定肩部分数 (r = -0.28,P = .023) 和牛津肩部分数 (r = -0.46,P < .001) 相相关.
- 较高的神经性与较高的手臂,肩膀和手的快速残疾分数相关 (r = 0.30,P = .017).
结论:
- 高度的神经性与近接骨骨折手术后功能结果的降低有关.
- 心理评估可能有助于预测康复.
- 这项研究强调了骨科患者心理特征和身体恢复之间的相互作用.
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