创伤性脊柱骨折患者抑郁现状及影响因素分析

Analysis of depression status and influencing factors in patients with traumatic spinal fracture

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

舞阳县人民医院脊柱外科,河南 ;

摘要
探讨创伤性脊柱骨折患者的抑郁现状及其影响因素。方法 选取我院2016年6月至2018年6月创伤性脊柱骨折患者207例,根据其抑郁状态将其分为对照组和抑郁组。比较两组患者的一般资料,手术时间、住院时间、术后疼痛等手术相关指标情况;应用Logistic回归分析创伤性脊柱骨折患者抑郁状况的影响因素。结果 两组患者在性别、文化程度、性格、创伤程度、住院时间、术后后遗症、疼痛程度上存在明显差异(P<0.05)。Logistic回归分析结果显示女性(OR=2.702,P=0.034)、内向性格(OR=2.858,P=0.002)、创伤程度重(OR=3.316,P=0.000)、住院时间(OR=1.250,P=0.001)、术后后遗症(OR=5.5 75,P=0.004)、术后VAS评分(OR=1.637,P=0.000)。结论 创伤性脊柱骨折患者发生抑郁的比例较高,年龄、创伤程度、住院时间、手术时间、术后后遗症是其独立危险因素
Abstract
Objective To explore the status of depression and its influencing factors in patients with traumatic spinal fracture. Methods 207 patients with traumatic spinal fractures from June 2016 to June 2018 in our hospital were selected and divided into control group and depression group according to their depression status. The general data, surgery time, hospital stay, postoperative pain and other surgical related indicators of the two groups of patients were compared. Logistic regression was used to analyze the influencing factors of depression in patients with traumatic spinal fracture. Results There were significant differences in gender, education level, personality, trauma degree, hospitalization time, postoperative sequelae and pain degree between the two groups (P<0.05). Logistic regression analysis showed that female, introverted personality, severe trauma, hospitalization time, postoperative sequelae, and postoperative VAS assessment were independent risk factors for depression in patients with traumatic fracture (OR=2.702, 2.858, 3.316, 1.250, 5.575, 1.637; P = 0.034, 0.002, 0.000, 0.001, 0.004, 0.000).Conclusions Patients with traumatic spinal fractures have a higher proportion of depression. Age, degree of trauma, length of hospital stay, operation time, and postoperative sequelae are independent risk factors.
关键词
创伤性脊柱骨折;脊柱损伤;抑郁
KeyWord
Traumatic spinal fracture; Spinal injury;Depression
基金项目
页码 379-381
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郭安丰*. 创伤性脊柱骨折患者抑郁现状及影响因素分析 [J]. 国际精神病学杂志. 2020; 47; (2). 379 - 381.

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