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抑郁症与肩部稳定手术后的反复不稳定和较差的结果有关
Benjamin L Brej1, Collin P Todd1, Kyle S Huntley2
1The Ohio State University College of Medicine, Columbus, Ohio, USA.
Orthopaedic journal of sports medicine
|October 9, 2025
概括
患有抑郁症的患者在肩部稳定手术后出现更高的重复肩部不稳定率和更糟糕的结果. 建议进行手术前抑郁症查,以管理预期并改善患者对手术风险的教育.
科学领域:
- 整形外科手术 整形外科手术
- 精神病学是一个精神病学.
- 患者的治疗结果.
背景情况:
- 在接受肩部手术的患者中,抑郁症很常见.
- 它与肩部稳定手术后的较差结果有关.
- 抑郁症对手术后复发不稳定的影响尚不清楚.
研究的目的:
- 为了调查抑郁症和稳定手术后重复的肩部不稳定性之间的联系.
- 为了比较有抑郁症和没有抑郁症的患者的功能结果和复发率.
主要方法:
- 对531名接受原发性肩部稳定治疗的患者进行了回顾性队列研究 (2009-2023年).
- 患者被分为两组:经过和没有手术前抑郁症诊断.
- 收集的数据包括人口统计,并发症,运动范围和患者报告的结果得分.
主要成果:
- 患有抑郁症的患者年龄较大,BMI较高,并有更多的并发症.
- 抑郁症组在手术前和手术后的运动范围较低.
- 在患有抑郁症的患者中观察到更高的复发不稳定率 (23%对14%) 和更糟糕的患者报告结果.
结论:
- 抑郁症与肩部稳定后的反复增加的不稳定性和较差的结果有关.
- 肩部稳定可以对患有抑郁症的患者有效.
- 术前抑郁症评估对于患者和医生在潜在风险和结果方面的教育至关重要.
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