前交叉韧带重建术后患者心理状态的临床研究

Clinical study on psychological status of the patients with ACL reconstruction

目的:探讨前交叉韧带重建术后患者的个性特征和临床心理症状。方法:采用艾森克个性问卷(EPQ)、症状自评量表(SCL-90)、汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)对42例前交叉韧带重建术后患者进行评定,并与30名健康对照者比较。结果:①前交叉韧带重建术后组和健康对照组EPQ的N维度分值分别为(55±11)分、(45±11)分,P维度分值分别为(55±11)分、(49±9)分,两组比较差异有统计学意义(P均<0.05)。②SCL-90发现前交叉韧带重建术后组躯体化(1.71±0.60)、抑郁(1.98±0.51)、焦虑(1.89±0.66)、恐惧(1.59±0.58)、偏执(1.79±0.63)、精神病(1.64±0.48)和其他(1.98±0.41)分值均明显高于对照组(P<0.01或0.05)。③前交叉韧带重建术后组有焦虑症状者38例(90%),有抑郁症状者36例(86%)。结论:前交叉韧带重建术后患者情绪不稳定、敏感、多疑,容易焦虑和抑郁,提示心理干预对其康复可能有重要意义。

Objective： To study the personality trait and psychological status of patients with ACL reconstruction. Methods： EPQ, SCL-90, HAMD and HAMA were performed in 42 patients with ACL reconstruction and 30 health subjects. Results： ① N and P scores in EPQ in the patients with ACL reconstruction and healthy controls were 55 ± 11 and 55 ± 11, and 45 ± 11 and 49 ± 9, respectively. Significant differences were observed in N and P scores between the two groups （P 〈 0. 05）. ② SCL-90 revealed that somatization, anxiety, depression, phobic anxiety, paranoid ideation and psychoticism were significantly more prominent in patients with ACL reconstruction （P 〈0. 05）. ③ Anxiety and depression were presented in 38 （90%） and 36 （86%） patients with ACL reconstruction, respectively. Conclusion： Unstable emotion, sensitiveness, suspiciousness, anxiety and depression are presented in patients with ACL reconstruction, thus providing psychological intervention in rehabilitation patients is necessary.