高速公路交通伤后创伤后应激障碍分析  

Study on posttraumatic stress disorders in patients with highway traffic accident injury

作　　者：施建国 侯振海 周继红[2] 王正国[2] 王禾[2] 叶虹 孟玲 

机构地区：[1]解放军第一七医院交通伤急救中心、杭州市高速公路急救中心,杭州310004 [2]第三军医大学附属大坪医院野战外科研究所、交通医学研究所、创伤、烧伤和复合伤国家重点实验室

出　　处：《中华创伤杂志》2006年第12期934-936,共3页Chinese Journal of Trauma

基　　金：国家GM自然科学基金(30522201);浙江省科技攻关计划资助项目(2006C33011)

摘　　要：目的研究高速公路交通伤患者创伤后应激障碍(post traumatic stress disorders,PTSD)的发生情况及影响因素。方法对我院2002年1月-2004年1月收治的高速公路交通伤患者,采用ICD-10诊断标准,制定PTSD危险因素调查表,分析PTSD的发病率、临床表现及危险因素。结果高速公路交通伤患者中PTSD发病率为18．8%。主要临床表现有：睡眠障碍、控制不住回想创伤经历、感到与人疏远、与亲人感情变淡等。PTSD的发生与交通伤患者的性格特征、文化程度、家庭成员间的关系及是否遗留躯体残疾有关。结论高速公路交通伤患者的PTSD发生率较高,针对易感人群应引起足够的重视并进行早期干预,将有利于减少PTSD的发生。Objective To study post-traumatic stress disorders and the influencing factors after traffic injuries highway. Methods Victims of highway traffic injury admired into our hospital from January 2002 to January 2004 were surveyed according to ICD-10 criteria and self-made questionnaire were made to analyze the incidence rate of PTSD, clinical manifestations and risk factors . Results Fiftytwo eases（ 18.8% ） were diagnosed as PTSD among all subjects, with major clinical manifestations including sleeping difficulties, uncontrollably recalling their trauma experiences and feeling indifferent with their relatives and friends or others. FFSD was related with person＇ s character, education degree, disability, and the relationship between their family members. Conclusions The incidence rate of PTSD is high in the eases with highway traffic injuries, Early intervention against susceptihle population would be held ful to reduce FTSD after highway traffic injury.

关 键 词：应激障碍 创伤后 事故 交通 高速公路 心理学 

分 类 号：R641[医药卫生—外科学]