与战斗相关的下肢截肢后15年健康结果的纵向分析:一项回顾性研究
Ted Melcer1, Meg I Robinson, Sarah Jurick
1From the Epidemiology and Data Management Support | Naval Health Research Center (T.M., M.I.R., S.J., J.Z., A.J.M.); Leidos, Inc. (M.I.R.); Naval Medical Center San Diego (R.S.), San Diego, California; and Edward Hines Jr. VA Hospital (D.F.), Hines, Illinois.
The journal of trauma and acute care surgery
|February 4, 2026
概括
战斗截肢导致严重的早期健康问题,如疼痛和行为健康诊断. 虽然一些疾病随着时间的推移而得到改善,但其他疾病如PTSD和骨关节炎可能会增加,需要长期的多学科护理.
科学领域:
- 军事医学 军事医学
- 创伤外科 手术 创伤外科
- 康复医学 康复医学 康复医学
背景情况:
- 战后下肢截肢的长度健康结果未得到充分研究.
- 了解长期健康轨迹对于退伍军人护理至关重要.
研究的目的:
- 调查与战斗相关的下肢截肢后的前15年健康结果.
- 为了比较截肢类型和没有截肢的肢体损伤之间的健康轨迹.
主要方法:
- 追溯分析了4814名服务人员的健康数据 (2001-2017年).
- 包括创伤性截肢,延迟截肢和没有截肢的肢体损伤.
- 临床诊断的纵向分析 (疼痛,行为健康,心血管,骨疾病) 伤害后长达15年.
主要成果:
- 早期截肢后疼痛和行为健康诊断的高患病率.
- 一些疾病如疼痛,失眠和抑郁症持续存在;其他疾病如骨关节炎和PTSD随着时间的推移而增加.
- 截肢与早期更多的诊断有关,但创伤性截肢在晚年 (10-15) 显示出更少的诊断.
结论:
- 创伤性和延迟截肢显示出不同的纵向健康模式.
- 截肢与略高的糖尿病率有关,但不是高血压,脂血或肥胖.
- 研究结果支持截肢者长期,多学科的护理途径.
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