新型冠状病毒肺炎疫情对武汉一线医护人员心理健康和脑功能的影响  

Impact of COVID-19 Pandemic on Mental Health and Cerebral Function of Frontline Medical Staff in Wuhan

作　　者：夏维 毕江江[1] 樊龙昌[1] 陈昊[1] XIA Wei;BI Jiang-jiang;FAN Long-chang;CHEN Hao(Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院麻醉科,武汉430030

出　　处：《神经损伤与功能重建》2021年第11期633-635,659,共4页Neural Injury and Functional Reconstruction

基　　金：中央高校基本科研业务费专项资金资助(No.2020kfyXGYJ077);湖北省卫生与计划生育委员会自然科学研究基金(No.WJ2017M083);华中科技大学同济医学院第二临床学院教学研究基金(2018)。

摘　　要：目的:评估新型冠状病毒肺炎疫情对武汉一线医护人员脑功能和心理健康的影响。方法:临床一线医务人员141例,在疫情期间和疫情结束后采用症状自评量表(SCL-90)进行评定,同时采用北京易飞华通公司研制的脑功能仪检测脑健康状况。结果:疫情期间一线医护人员的SCL-90总分明显高于疫情后[(145.4±42.8)和(131.4±35.3)分,P<0.05],SCL-90因子分≥2分的人数分布较多的因子是躯体化、抑郁和偏执。脑功能监测指标中,脑能耗、脑放松、脑惰性和脑稳定等项目在疫情期间测得数值明显高于疫情后(P<0.05)。结论:新型冠状病毒肺炎疫情给武汉一线医护人员带来巨大压力,导致脑功能监测异常和心理障碍。Objective:To evaluate cerebral function and mental health of frontline medical staff during the COVID-19 pandemic in Wuhan.Methods:A total of 141 frontline health workers were enrolled.The Symptom Checklist-90(SCL-90)was used to assess the mental health of the medical staff.The brain function of the medical staff was evaluated by a cerebral functional device produced by Beijing Easymonitor Tech.Results:During the COVID-19 outbreak,the total SCL-90 scores of frontline medical staff were significantly higher than scores after the pandemic[(145.4±42.8)versus(131.4±35.3),P<0.05)].The positive mental symptoms(SCL-90 factors≥2)were somatization,depression,and paranoia.Analysis of cerebral functions showed that factors such as brain metabolism rate,brain relaxation,cognitive efficiency,and mental resilience were significantly higher during the COVID-19 pandemic than after.Conclusion:The COVID-19 pandemic brought immense pressure to the frontline medical staff in Wuhan,leading to abnormal brain function and mental health disturbances.

关 键 词：新型冠状病毒肺炎 症状自评量表 脑功能 心理健康 

分 类 号：R741[医药卫生—神经病学与精神病学] R749[医药卫生—临床医学]