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目的:探讨创伤后疼痛对发生创伤后应激障碍（post-traumatic stress disorder, PTSD）的影响。方法:纳入2018年1月至2019年6月因急性创伤就诊于徐州医科大学附属医院急救中心的患者，排除年龄0.05）；两组患者入院时ISS评分以及入院24 h内APACHE Ⅱ评分均差异无统计学意义（n P>0.05）。创伤疼痛是PTSD发病的独立危险因素（n P=0.043）。入院时VAS评分与伤后1个月时PCL-5得分呈正相关（n r=0.355，n P=0.004）。另外，ROC曲线分析显示，入院时VAS评分>8时，对PTSD的发生具有预测价值（敏感度为100%，特异度为33%，n P=0.000 2）。n 结论:创伤后严重疼痛是PTSD发病的独立危险因素，应及时给予干预。“,”Objective:To investigate the effect of post-traumatic pain on post-traumatic stress disorder (PTSD).Methods:A prospective trial was conducted with the recruitment of patients referred to the Emergency Center of Affiliated Hospital of Xuzhou Medical University for acute trauma from January 2018 to June 2019, with the exclusion criteria: age 8 at admission had predictive value for PTSD (sensitivity=100%, specificity=33%, n P=0.000 2).n Conclusions:Post-traumatic severe pain is an independent risk factor for PTSD, which requires prompt medical intervention.