Departmental Bulletin Paper 外科的ストレスと抑うつとの関連性
The Relationship between Surgical Stress and Depression

鈴木, 敏彦  ,  吉本, 好延

 Inflammatory symptoms and delay in pain induced by surgical stress could become a significant inhibitor when conducting a post-surgical rehabilitation, causing worsening of depressive symptoms and functional disorders. As such, factors that impact post-surgery stress reaction need to be clarified, as well as countermeasures need to be developed. However, the relationship between surgical stress from post-orthopedic surgery and functional disorders has not yet been fully examined. Thus, there is a necessity to examine the findings that have been reported to date. Using proximal femoral fracture, an orthopedic injury that occurs frequently among the elderly, as a representative disorder, prior studies on the relationship between surgical stress and functional disorders were analyzed. Results showed that although the mechanism in which depression following the proximal femoral fracture surgery impacts the functional prognosis has been indicated, current clinical research data is not sufficient to validate the mechanism by which post-surgery depression exacerbates surgical stress. In future, it is believed that clinical research into depression of proximal femoral fracture patients and surgical stress needs to be advanced.

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