精神障碍与神经性膀住院结果之间的关联:一项回顾性的全国性住院样本数据库研究
Qianying Liao1, Min Zheng2, Ming Ni3
1Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, China.
International urology and nephrology
|December 23, 2025
概括
在神经性膀患者中,精神疾病如焦虑会增加泌尿道风险,但可能会降低死亡率. 综合护理和心理评估对于更好的患者结果至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 神经性膀会影响许多成年人,经常与心理健康状况同时发生.
- 了解精神病并发症对神经性膀患者结果的影响对于临床实践至关重要.
研究的目的:
- 调查抑郁,焦虑和联合抑郁焦虑与神经性膀患者住院结果之间的关联.
- 为完善临床指南和增强患者管理策略提供证据.
主要方法:
- 从国家住院患者样本 (2010-2019) 中,对676,826名成年神经性膀患者进行了回顾性分析.
- 使用ICD-9/ICD-10代码对精神健康并发症 (抑郁,焦虑,抑郁焦虑) 的分类.
- 评估结果,包括停留时间,费用,死亡率和泌尿病并发症,并进行后勤回归分析.
主要成果:
- 焦虑与增加水,尿道感染,尿路结石和急性功能衰竭的风险相关,但囊炎风险降低.
- 患有抑郁症和焦虑症的患者表现出类似的并发症模式;仅抑郁症没有显著的关联.
- 与没有精神病并发症的人相比,患有精神病并发症的人在医院住院时间更短,死亡率更低.
结论:
- 神经性膀患者的精神病并发症呈现出风险和保护作用的复杂相互作用.
- 焦虑与特定的泌尿器官并发症有关,但可能会降低死亡率,突出了微妙的关系.
- 强调需要对神经性膀患者进行系统的心理评估和综合的多学科护理.
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