交通伤后创伤后应激障碍的预测研究  

Predictive study of post-traulnatic stress disorder after traffic injury

作　　者：夏宏伟 姜潮[2] 孙月吉[2] 周莉[2] 曲宸绪[2] 刘启贵[2] 刘宗航[2] 

机构地区：[1]北京西城疾病控制中心妇幼保健所妇保科,100011 [2]大连医科大学管理学院

出　　处：《中华创伤杂志》2007年第5期339-342,共4页Chinese Journal of Trauma

摘　　要：目的预测交通伤后引起创伤后应激障碍（post traumatic stress disorder，PTSD）发生的早期因素。方法对2004年3—9月人院的87例交通伤患者应用前瞻性随访方法，对早期因素致创伤后应激障碍发生进行预测研究。结果交通伤后患者症状自评量表（SCL-90）大部分因子得分高于常模（P〈0．05）。伤后3—4月PTSD发生率为31％，是否患PTSD两组间早期因素差异有统计学意义的是：人格、心理水平等（P〈0．05）。Logistic回归分析显示，早期预测因素为人格N因子和SCL-90中的精神病性因子（P〈0．05）。结论需对交通创伤患者尤其有神经质人格或精神病倾向患者及早给予心理救助。Objective To explore the predictive factors of post-traumatic stress disorder （IrPSD） after traffic injury. Methods A total of 87 cases with traffic injuries admitted into our hospital and NO. 5 Dalian Hospital from March to September 2004 were served as study objects. General condition questionnaire, Eysenck personality questionnaire （EPQ） , perceived social support scale （PSSS） , life events scale （LES）, and trait coping style questionnaire （TCSQ） were applied from 1 week to 1 month after traffic injury to investigate general conditions, traffic injury condition, cognition, personality, social support and coping skills, which were predictable factors of PTDS after traffic injuries. Symptom Checklist 90 （ SCL 90） was used to test the psychological state of the cases. Standard diagnosis was performed by ussing Diagnostic and Statistical Manual of Mental Disorders （4th Edition） （DSM-IV） 3-4 months after traffic injury. Results （ 1 ） The SCL-90 score of traffic injury cases was higher than that of normal persons （ P 〈 0.05 ）. （ 2 ） The incidence of PTSD after traffic injury was 31%. （ 3 ） The statistical difference was shown in factors including family address, neurotic trait, psychosis of EPQ, negative coping of TCSQ, bad things affection of LES and all factors of SCL-90 between PTSD groups and non FTSD （ P 〈 0. 05 ）, （4） The results of Logistic analysis indicated ttlat N factors of personality and psychotic factors were predictive factors （ P 〈 0.05 ）. Conclusion Early psychological assistance should be given to those with neurotic personality or psychosis character because they have high susceptability to PTSD after traffic injury.

关 键 词：创伤后应激障碍 事故 交通 调查表 

分 类 号：R686[医药卫生—骨科学]