摘要
目的分析胸腰椎压缩性骨折术后创伤后应激障碍的影响因素。方法回顾性收集河南省人民医院2021年9月—2023年9月收治的125例完成经皮椎体后凸成形术治疗的胸腰椎压缩性骨折患者的临床资料,统计患者入院时基线资料,出院前评估患者创伤后应激障碍发生情况,对胸腰椎压缩性骨折术后发生创伤后应激障碍的相关因素进行单因素和多因素分析。结果125例胸腰椎压缩性骨折患者出院前创伤后应激障碍量表-平民版(PCL-C)评分为18~52分,平均(34.64±7.29)分,发生创伤后应激障碍41例,发生率为32.80%;发生组骨折椎体数≥2个占比、心理弹性低占比、低社会支持水平占比、重度疼痛占比、焦虑占比、抑郁占比均高于未发生组,差异有统计学意义(P<0.05);经多因素logistic回归分析结果显示,骨折椎体数≥2个、心理弹性低、低社会支持水平、重度疼痛是胸腰椎压缩性骨折术后发生创伤后应激障碍的危险因素(OR>1,P<0.05),焦虑、抑郁不是胸腰椎压缩性骨折术后发生创伤后应激障碍的危险因素(P>0.05)。结论胸腰椎压缩性骨折术后创伤后应激障碍发生率较高,骨折椎体数≥2个、心理弹性低、低社会支持水平、重度疼痛是胸腰椎压缩性骨折术后发生创伤后应激障碍的影响因素。
Objective To analyze the influencing factors of post-traumatic stress disorder after thoracolumbar compression fracture surgery.Methods A retrospective collection of clinical data was conducted on 125 patients with thoracolumbar compression fractures who underwent percutaneous kyphoplasty treatment and were admitted to the Henan Provincial People's Hospital from September 2021 to September 2023.The baseline data of the patients at admission were collected,and the occurrence of post-traumatic stress disorder was evaluated before discharge.The related factors of post-traumatic stress disorder after thoracolumbar vertebral compression fracture were analyzed by univariate and multivariate analysis.Results Totally 125 patients with thoracolumbar compression fractures had a pre discharge post-traumatic stress disorder scale civilian version(PCL-C)score of 18-52,with an average of(34.64±7.29)points.A total of 41 patients experienced post-traumatic stress disorder,with an incidence rate of 32.80%.The proportion of vertebral fractures≥2,low psychological resilience,low social support level,severe pain,anxiety,and depression in the fracture group were higher than those in the non fracture group,with a statistical significant difference(P<0.05).The results of multiple logistic regression analysis showed that having a fracture of≥2 vertebral bodies,low psychological resilience,low social support level,and severe pain were risk factors for post-traumatic stress disorder after thoracolumbar compression fracture surgery(OR>1,P<0.05),while anxiety and depression were not risk factors for post-traumatic stress disorder after thoracolumbar compression fracture surgery(P>0.05).Conclusion The incidence of post-traumatic stress disorder(PTSD)after thoracolumbar compression fracture surgery is relatively high.Factors affecting the occurrence of PTSD after thoracolumbar compression fracture surgery include the number of fractured vertebral bodies≥2,low psychological resilience,low social support level,and severe pain.
作者
丁倩倩
李伟玲
许艺
DING Qian-qian;LI Wei-ling;XU Yi(Department of Orthopaedics,Henan Provincial Peoples Hospital,Zhengzhou 450000,China)
出处
《医药论坛杂志》
2024年第20期2198-2202,共5页
Journal of Medical Forum
关键词
胸腰椎压缩性骨折
经皮椎体后凸成形术
创伤后应激障碍
影响因素
Thoracolumbar compression fractures
Percutaneous kyphoplasty
Post-traumatic stress disorder
Influence factor
