脑震荡患者心理障碍的探讨  

Investigation of psychological disturbance of the patients with brain concussion

作　　者：杨本生[1] 赵鹏洲[1] 欧英雄[1] 谭社练[1] 方胜[1] 赵伯端[1] 

机构地区：[1]广东省江门市人民医院神经外科,529051

出　　处：《中华神经医学杂志》2005年第10期1034-1036,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨脑震荡患者心理障碍及其与临床特征的关系。方法对60例脑震荡患者进行90项症状自评量表(SCL-90)评定,并与常模(正常人阳性症状均分)比较。结果脑震荡患者SCL-90总分、总均分、阳性项目数、躯体化症状、强迫症状、抑郁症状、焦虑症状、敌对症状因子分均高于常模,暴力伤和文化程度高的患者的心理障碍较严重。结论脑震荡可导致患者心理障碍的产生,患者的心理障碍与受伤方式和患者的文化程度有关,应早期就对患者进行心理治疗。Objective To investigate the psychological disturbance of the patients with brain concussion, and to explore the relation between the mental disturbance and the patients＇ clinical features. Methods 60 cases of brain concussion were tested by Symptom Check-List 90 （SCL-90）, then compared with the normal. Results The total scores and mean total scores of SCL-90, the factor scores of somatization symptom, compulsion, depressive disorder, anxiety disorders, and hostile symptom in the patients with brain concussion were all higher than those in the normal; the psychological disturbance was more serious in the patients whose brain concussion was induced by violence or who accepted higher education. Conclusion The brain concussion may lead to the psychological disturbance that is related to the injury way and the education level of patients. The early treatment of the psychological disturbance in the patients with brain concussion was essential.

关 键 词：脑震荡后综合征 90项症状自评量表 心理障碍 

分 类 号：R749.1[医药卫生—神经病学与精神病学]