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目的:探讨颅脑伤致患者早期精神障碍的发生与相关影响因素。方法:选取我院急救创伤外科2013-09-2015-03住院治疗的颅脑伤患者210例,收集患者的一般资料及临床资料,进行头颅CT检查和智商、记忆商测试以及人格障碍筛查工具(PDQC)和人格障碍临床定式检查工具(SCICP)评估。分析颅脑损伤致早期精神障碍发生的影响因素,采用Logistic多因素回归分析其危险因素。结果:210例急性颅脑伤患者中伴发早期精神症状者149例,发生率为70.9%。颅脑损伤患者的年龄、文化程度及颅脑伤的损伤性质、程度、部位与伤后发生精神障碍相关(P<0.01,P<0.05),Logistic多因素回归分析显示患者年龄、颅脑损伤程度和颅脑损伤部位是影响患者精神障碍的危险因素。结论:颅脑伤致早期精神障碍发生率较高,其年龄、文化程度、颅脑损伤程度和部位是发生精神障碍的影响因素,提示在颅脑损伤患者的临床救治中,针对性评估高危患者及时观察出患者精神症状,采取针对性的干预措施有利于提高创伤救治整体与全面性。
Objective: To investigate the incidence and related factors of early mental disorders in patients with craniocerebral injury. Methods: A total of 210 cases of traumatic brain injury admitted to our hospital from September 1, 2013 to December 15, 2013 were recruited. The general data and clinical data of the patients were collected. The brain CT, IQ, memory test and personality screening tools PDQC) and Personality Disorder Clinical Scheduler (SCICP). The influencing factors of early mental disorders caused by brain injury were analyzed. Logistic regression was used to analyze the risk factors. Results: Among the 210 patients with acute craniocerebral injury, 149 patients had early psychiatric symptoms, the incidence was 70.9%. The age, educational level and the nature, degree and location of traumatic brain injury in patients with craniocerebral injury were related to mental disorders after injury (P <0.01, P <0.05). Logistic regression analysis showed that the patients’ age, brain injury degree and Brain injury site is a risk factor for mental disorders in patients. Conclusion: The incidence of early mental disorders caused by craniocerebral injury is high, and its age, education level, brain injury degree and location are the influencing factors of mental disorders. It suggests that in the clinical treatment of patients with craniocerebral injury, Observe the patient’s psychiatric symptoms, and take targeted interventions will help improve the overall and comprehensive treatment of trauma.