道路交通事故致创伤后应激障碍的研究  

Posttraumatic Stress Disorders after Road Traffic Accident:A Clinical Investigation

作　　者：叶虹 侯振海 施建国 王正国[2] 周继红[2] 郑隆宝 孟玲 

机构地区：[1]117医院交通伤急救中心,浙江杭州市310004 [2]第三军医大学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,重庆市400042

出　　处：《中国康复理论与实践》2009年第3期265-266,共2页Chinese Journal of Rehabilitation Theory and Practice

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

摘　　要：目的探讨道路交通事故伤员中创伤后应激障碍(PTSD)的发生情况及相关的影响因素。方法对我院2001年1月～2005年1月间收治的杭州市道路交通事故伤员,采用自定PTSD危险因素调查表,调查PTSD的发病率、临床表现及危险因素。结果道路交通事故伤员中PTSD的发病率为7.53%,主要临床表现为睡眠障碍、强迫回想创伤经历及过分的惊跳反应等,PTSD的发生与交通事故伤员的性格特征、文化程度、家庭成员间的关系及是否得到有效赔偿等有关。结论道路交通事故伤员中PTSD并非少见,在治疗躯体疾患的同时,应针对易感人群进行早期心理干预。Objective To study the incidence, character and related risk factors of post trauma stress disorders （PTSD） after road traffic accidents. Methods Inpatients after road traffic accidents from January 2001 to January 2005 were surveyed with sell made questionnaire. The incidence, clinical symptoms and related factors of PTSD were analyzed. Results 156 cases （7.53%） were diagnosed as PTSD among all subjects and their major clinical manifestation including difficulty of falling or staying asleep, compulsion of re-experience traumatic process and excessive startled reactions. The related factors of PTSD including the personality, the degree of education, family harmony and compensation. Conclusion PTSD is common in patients injured in road traffic accidents. Early psychological intervention for susceptible may be needed.

关 键 词：道路交通事故 创伤后应激障碍 睡眠障碍 危险因素 

分 类 号：R749.5[医药卫生—神经病学与精神病学]