手术后克罗恩病患者的创伤后应激障碍症状:一个横截面研究
Lei Jin1, Lei Wang1, Zhengting Wang1
1Department of Gastroenterology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Therapeutic advances in gastroenterology
|November 17, 2025
概括
创伤后压力 (PTS) 影响35.5%的克罗恩病患者在手术后. 收入较低,疾病严重程度和多次手术等因素增加了PTS风险,突出了对心理健康支持的需求.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 手术瘤学手术瘤学
背景情况:
- 克罗恩氏病 (CD) 是一种慢性炎症性肠道疾病,通常需要手术干预.
- 癌症患者的外科手术可能会导致严重的心理压力,可能表现为创伤后压力 (PTS).
- 对于克罗恩病患者手术后PTS的患病率和促成因素的研究有限.
研究的目的:
- 调查在手术后患有克罗恩氏病 (CD) 的患者中创伤后压力 (PTS) 的发生率.
- 在这个患者群体中确定PTS相关因素和潜在风险预测因素.
主要方法:
- 采用了回顾性横截面研究设计.
- 分析了在2015年9月至2023年7月期间接受手术的124名CD患者.
- 数据收集使用在线问卷,包括PTSD检查表 (PCL-5),评估PTS症状和相关因素.
主要成果:
- 该研究发现,在接受调查的CD患者中,PTS发病率为35.5%.
- 较低的月收入,较高的哈维 - 布拉德肖指数得分,围病变,骨干和腹腔切除都与PTS有关.
- 后勤回归揭示了术后并发症和多次手术史作为PTS的独立风险因素.
结论:
- 创伤后压力是克罗恩氏病患者接受手术的一个重要问题,特别是那些患有严重疾病或多次手术的人.
- 研究结果强调了手术并发症和患者病史对心理健康的影响.
- 这些见解可以为开发有针对性的医疗服务提供信息,以解决手术CD患者的心理健康需求.
相关概念视频
01:30Inflammatory Bowel Disease II: Crohn's Disease
939
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
939
01:17Chronic Bowel Disorders: Introduction
736
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
736
01:27Post-traumatic Stress Disorder
462
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
462
01:21Inflammatory Bowel Disease V: Surgical Management
430
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
430
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
622
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
622
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
880
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
880