摘要： 目的 分析慢性踝关节不稳(CAI) 患者改良Broström-Gould术后焦虑和抑郁情况的改善及预后。方法 对行改良Broström-Gould手术的140例CAI患者进行回顾性问卷调查, 问卷内容包括一般情况调查表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、视觉模拟量表(VAS)、匹茨堡睡眠质量指数量表(PSQI) 和美国足踝外科协会踝-后足量表(AOFAS)。术前以及术后3和6个月时分别使用相同问卷对患者进行调查, 对调查结果进行统计分析。结果 术前CAI患者焦虑的发生率为29.2%, 抑郁的发生率为37.5%。改良Broström-Gould术后3个月,CAI患者焦虑和抑郁情绪、疼痛程度、睡眠障碍以及踝关节功能状态均较术前明显改善(均P < 0.001)。CAI患者术后焦虑、抑郁情绪的改善与疼痛程度、睡眠质量和踝关节功能状态呈双向正相关关系(P < 0.05)。结论 CAI患者术前存在明显的焦虑和抑郁情绪, 改良Broström-Gould手术可明显改善患者焦虑、抑郁情况及预后, 应尽早对CAI患者行手术治疗。

慢性踝关节不稳患者改良Broström-Gould术后焦虑和抑郁情况的改善及预后

杨蕊菲¹, 秦雪萌², 张琦³, 杨茂伟²

1. 中国医科大学附属第一医院康复医学科, 沈阳 110001;
2. 中国医科大学附属第一医院骨科, 沈阳 110001;
3. 辽宁中医药大学附属医院骨科, 沈阳 110033

收稿日期:2021-11-06出版日期:2022-08-30发布日期:2022-07-19
通讯作者:杨茂伟E-mail:mwyang@cmu.edu.cn
作者简介:杨蕊菲（1995-），女，技师，硕士.
基金资助:辽宁省重点研发计划指导计划（2019JH8/1030018）


关键词: 慢性踝关节不稳, 焦虑, 抑郁, Broström-Gould术
Abstract: Objective To investigate the improvement of anxiety, depression, and prognosis in patients with chronic ankle instability (CAI) after the modified Broström-Gould procedure. Methods A retrospective questionnaire survey was conducted on 140 CAI patients who had undergone the modified Broström-Gould procedure, including the Self-Rating Anxiety Scale(SAS), the Self-Rating Depression Scale(SDS), the Visual Analog Scale(VAS), Pittsburgh Sleep Quality Index(PSQI), and the American Orthopedic Foot and Ankle Society's(AOFAS) Ankle-Hindfoot Scale. Patients were followed up with the same questionnaire before surgery, and at 3 and 6 months after surgery. The results were statistically analyzed. Results The incidence of anxiety and depression in preoperative CAI patients was 29.2% and 37.5%. The anxiety, depression, pain, sleep disturbance, and ankle function of CAI patients improved significantly after the modified Broström-Gould procedure at 3 months(P < 0.001). The improvement of postoperative anxiety and depression in CAI patients was positively correlated with their degree of pain, sleep quality, and ankle joint function(P < 0.05). Conclusion CAI patients have obvious anxiety and depression. The modified Broström-Gould procedure may improve the anxiety, depression, and prognosis of CAI patients significantly. Therefore, CAI patients should undergo surgery as soon as possible.
Key words: chronic ankle instability, anxiety, depression, Broström-Gould procedure
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