高龄髋部骨折患者术前心理状态与手术风险的相关性研究

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1、陈老师您好：请按文内提示修改，请于1月4日前修回上传至本刊网站。高龄髋部骨折患者术前心理状态与手术风险的相关性研究陈静华(平湖市中医院，浙江平湖314200)[摘要]目的探讨高龄髋部骨折患者术前心理状态与手术风险的相关性，为高龄髋部骨折患者术前心理干预提供理论依据。方法通过对90例符合纳入与排除标准的高龄髋部骨折患者进行术前认知功能，抑郁和焦虑心理状态测评，根据测评结果按相关标准将每种心理状态均分为轻度、中度与重度组，以术中、术后3个月内并发症发生率作为手术风险高低的指标，比较不同心理状态下手术风险

2、的差异，统计术前心理状态与手术风险的相关性。结果不同认知功能组术中、术后3个月内并发症发生率无明显差异(P>0.05)，不同抑郁与焦虑组术中、术后3个月内并发症发生率有显著性差异(P<0.01)，术中、术后3个月内并发症的发生与抑郁心理和焦虑心理呈正相关。结论高龄髋部骨折患者术前抑郁和焦虑心理状态与手术风险高度相关，抑郁是影响手术风险的最主要心理因素，对患者术前行抑郁和焦虑方面的心理干预是非常必要的。(请根据文内修改调整)[关键词]高龄；髋部骨折；心理状态；并发症Studyontherelation

3、shipbetweenthepreoperativementalstatesandtheriskofoperationingreatagedpatientswithhipfracture[Abstract]ObjectiveToexploretherelationshipbetweenthepreoperativementalstatesandtheriskofoperationingreatagedpatientswithhipfracture,andtoprovidetheoryreferenc

4、eforpreoperativementalinterventioninthem.MethodsAccordingtotheinclusioncriteria,90casesagedpatientswithhipfractureweretestedpreoperativecognitionfunction,depressionandanxietymentalstates,andthetestresultswereclassifiedinmild,moderateandseveredegreesofe

5、achmentalstateinaccordancewiththerelatedstandards,andtherecentcomplicationincidencerateinoperationorafteroperationwastakenasaindexwhichwasusedtoweightheriskofoperation,thentocomparethedifferencesoftheriskofoperationineverymentalstates,atlast,tofindoutt

6、herelationshipbetweenthepreoperativementalstatesandtheriskofoperation.ResultTherewerenoobviouslydifferencesoftherecentcomplicationincidenceratesineverycognitionfunctiongroups(P>0.05),andtherewereobviouslydifferencesoftherecentcomplicationincidencerates

7、ineverydepressionandanxietymentalstatesgroups(P<0.01).Therewaspositivecorrelationbetweentherecentcomplicationincidenceratesanddepression,anxietymentalstates.ConclusionTherewassignificantcorrelationrelationshipbetweenthepreoperativedepression,anxietymen

8、talstatesandtheriskofoperationingreatagedpatientswithhipfracture,anddepressionmentalstateswasthebiggestinfluencingfactor.Itwasverynecessarytoruninterventiononthepreoperativedepressionandanxietymentalstatesingreatagedpatientswithhipfract