抑郁症对接受全膝关节整形手术的老年患者的功能状况的影响
Tomas Ignacio Nicolino1, Maximiliano Smietniansky2, Bruno Boietti3
1Division of Knee, Department of Orthopaedics, Hospital Italiano de Buenos Aires, Buenos Aires 1109, Argentina.
World journal of methodology
|September 3, 2025
概括
在老年拉丁美洲患者的全膝关节整形术 (TKA) 后一年,抑郁症没有影响功能结果. 术前查和治疗抑郁症可能改善其他健康方面.
科学领域:
- 整形医学
- 老年病学
- 精神病学
背景情况:
- 在接受全膝关节整形手术 (TKA) 的患者中,抑郁症状占22%至26%.
- 抑郁症对TKA后的功能状态的影响仍在争论中.
- 这项研究涉及拉丁美洲人口的相关性.
研究的目的:
- 在老年患者中研究抑郁症与功能状态之间的联系.
- 确定抑郁是否与TKA后功能改善较差.
- 提供第一个在拉丁美洲队列这样的分析.
主要方法:
- 在接受TKA的100名65岁以上患者进行了回顾性队列研究.
- 使用Yesavage评分和患者健康问卷9进行查.
- 通过手术后一年的膝关节社会评分 (KSS) 评估功能能力.
主要成果:
- 22% 的患者的查结果为抑郁症呈阳性.
- 抑郁症患者表现出更大的认知障碍和虚弱.
- 在抑郁和非抑郁组之间没有观察到术后功能性KSS或改善的显著差异.
- 线性回归显示抑郁症与KSS变化之间没有关联.
结论:
- 骨关节炎患者的抑郁症不应违反TKA.
- 在手术前识别和治疗抑郁症可以改善疼痛缓解.
- 治疗抑郁症可以减轻妄想,认知衰退和虚弱的风险.
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