鼻部皮肤菲薄就医者鼻整形后抑郁现状调查及其影响因素

Investigation of depression in patients with thin nasal skin treated by doctors after rhinoplasty and its influencing factors

目的分析鼻部皮肤菲薄就医者鼻整形后抑郁现状及影响因素。方法回顾性分析2019年6月~2022年6月在我院进行鼻整形的100例鼻部皮肤菲薄就医者的临床资料。随访1年后依据抑郁自评量表(Self-Rating Depression Scale,SDS)评分,分为抑郁组33例,无抑郁组67例。比较两组就医者基线资料、术后疼痛程度及不良事件发生情况。采用多因素Logistic回归分析鼻部皮肤菲薄就医者鼻整形后抑郁的影响因素。结果100例鼻部皮肤菲薄就医者中33例(33.00%)发生术后抑郁,15例(45.45%)为轻度抑郁,10例(30.30%)为中度抑郁,8例(24.24%)为重度抑郁;抑郁组已婚、月收入≤5000、假体材料为乙烯、重度疼痛、术后发生瘢痕收缩及感染变形例数占比高于无抑郁组(P<0.05);多因素Logistic回归分析显示已婚、月收入≤5000元、假体材料为乙烯、重度疼痛、术后发生瘢痕收缩、感染变形均为导致鼻部皮肤菲薄就医者鼻整形后抑郁的影响因素(P<0.05)。结论鼻部皮肤菲薄就医者鼻整形后抑郁发生率较高,已婚、月收入≤5000元、假体材料为乙烯、重度疼痛、术后发生瘢痕收缩、感染变形均为其影响因素。

Objective To analyze the status of depression in patients with thin nasal skin undergoing rhinoplasty and its influencing factors.Methods The clinical data of 100 patients with thin nasal skin who underwent rhinoplasty in our hospital from June 2019 to June 2022 were retrospectively analyzed.After 1 year of follow-up,according to Self-Rating Depression Scale(SDS),33 patients were divided into depression group and 67 patients were not depressed group.Baseline data,postoperative pain and adverse events were compared between the two groups.Multivariate Logistic regression was used to analyze the influencing factors of depression in patients with thin nasal skin undergoing rhinoplasty.Results Among 100 patients with thin nasal skin,33 cases(33.00%)had postoperative depression,15 cases(45.45%)had mild depression,10 cases(30.30%)had moderate depression,and 8 cases(24.24%)had severe depression.The proportion of married patients in depression group,monthly income≤5000,ethylene prosthesis material,severe pain,postoperative scar contraction and infection deformation was higher than that in non-depression group(P<0.05).Multivariate Logistic regression analysis showed that marriage,monthly income≤5000 yuan,ethylene prosthesis material,severe pain,postoperative scar contraction,infection and deformation were all influencing factors for depression after nasal surgery in patients with thin nose skin(P<0.05).Conclusion The incidence of depression after rhinoplasty was higher in patients with thin nose skin.Married,monthly income≤5000 yuan,ethylene prosthesis material,severe pain,postoperative scar contraction,infection and deformation were all influencing factors.