脑下小肠狭窄症的心理负担:抑郁症和焦虑症的患病率
Alison M Hawkins1, Lenise G Soileau1, Michael D Rockwell2
1Louisiana State University Health Shreveport School of Medicine, Shreveport, United States of America.
Otolaryngologia polska = The Polish otolaryngology
|March 6, 2026
概括
肠下狭窄症 (SGS) 患者的抑郁和焦虑率很高,通常与输管和多次手术有关. 综合心理健康护理对于管理这种罕见的呼吸道疾病至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 精神病学是一个精神病学.
- 肺部病理学 肺部病理学
背景情况:
- 肠下狭窄症 (SGS) 是一种罕见的,反复出现的纤维炎症性疾病,导致上呼吸道狭窄和呼吸障碍.
- 患者经常因为慢性静止症而经历多次手术,这可能会影响心理健康.
研究的目的:
- 为了确定患有 subglottic 狭窄症的患者中抑郁和焦虑的患病率.
- 为了确定与SGS患者心理并发症相关的风险因素.
主要方法:
- 在第三级护理中心对246名SGS患者 (2012-2022) 的回顾性图表审查.
- 数据包括人口统计,SGS病因,手术史,气管切除术,肺功能,药物和精神病史.
- 统计分析涉及t测试,奇平方和ANOVA与邦费罗尼校正.
主要成果:
- 16%的患者被诊断患有抑郁症;49%的人报告有焦虑或抑郁症史.
- 与输管相关的SGS是主要原因 (41.9%) 和与抑郁症 (p=0.03) 显著相关.
- 患有抑郁症的患者每年住院率较高 (p=0.00);患有精神病住院的患者年龄较小 (p=0.01).
结论:
- 抑郁症和焦虑症在SGS患者中非常普遍,超过一般人群的比率.
- 年龄,输管相关病因和手术负担是导致心理痛苦的因素.
- 精神健康评估和综合护理是整体性小结节狭窄症管理的重要组成部分.
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