创伤后应激障碍对查和监视结肠镜检查的影响
Trisha S Pasricha1,2, Naomi Burhans1, Jasmine B Ha1
1Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
患有创伤后应激障碍 (PTSD) 的患者更有可能接受查和监测结肠镜检查. 这项研究强调了PTSD作为结肠镜利用的保护因素,为创伤知情的内镜护理提供信息.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 创伤后应激障碍 (PTSD) 很普遍,但其对结肠镜利用的影响还未得到充分研究.
- 结肠镜检查是一种侵入性手术,可能会增加患者的脆弱性.
研究的目的:
- 调查与查和监测结肠镜利用相关的因素.
- 确定PTSD在结肠镜利用中的具体作用.
主要方法:
- 从2009年至2019年,对50-74岁的患者进行了回顾性队列研究.
- 多变量后勤回归用于评估与结肠镜相关的因素.
- 对于查结肠镜检查的镇静方式的分层分析.
主要成果:
- 患有PTSD的患者在查 (OR 3.15) 和监测 (OR 2.05) 结肠镜检查中使用率显著提高.
- 监控麻醉护理 (MAC) 对没有PTSD的患者的监测结肠镜有积极的影响,但对患有PTSD的患者没有影响.
结论:
- 创伤后应激障碍是使用结肠镜检查的意想不到的重要保护因素.
- 结肠镜术的麻醉决定应该是个性化的,特别是对于患有PTSD的患者,以促进创伤信息化的护理.
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