高原骨科患者创伤后应激障碍的发生率及高危因素的分析  

Analysis of the incidence and risk factors of post-traumatic stress disorder in orthopedic patients at high altitudes

作　　者：王艳兵 刘会君 王争名 冯守垒 刘勃 李智勇 曹鹏冲 Wang Yanbing;Liu Huijun;Wang Zhengming;Feng Shoulei;Liu Bo;Li Zhiyong;Cao Pengchong(School of Medicine,Xizang University,Lhasa 850000,China;Department of Traumatology and Orthopedics,General Hospital of Xizang Military Region,Lhasa 850000,China)

机构地区：[1]西藏大学医学院,拉萨850000 [2]西藏军区总医院创伤骨科,拉萨850000

出　　处：《西藏科技》2024年第11期69-75,共7页Xizang Science And Technology

摘　　要：目的 探索高海拔地区骨科患者创伤后应激障碍(PTSD)的发生率及高危因素的分析。方法 选择120例高原地区骨科患者为研究对象,依据患者是否发生PTSD进行分类,将发生PTSD的患者设成观察组(n=51),将未发生PTSD的患者设成对照组(n=69),比较2组患者一般资料、病情状况等区别,使用单因素分析及二元Logistics多元回归分析高原骨科患者创伤后应激障碍的发生率及高危因素。结果 经统计,120例高原骨科患者中,PTSD呈阳性51例(42.50%)。发生PTSD患者的性别、职业类型、居住地、人均月收入、诊疗付费方式、进藏时间长短、骨折类型与未发生PTSD患者进行对比,差异均有统计学意义(P<0.05);经多元Logistic线性回归模型数据显示性别、职业类型、居住地、人均月收入、诊疗付费方式、进藏时间长短、骨折类型是高原骨折患者PTSD发生的危险因素(OR>1,P<0.05)。结论 高原骨科患者创伤后应激障碍(PTSD)的发生率较高,可能受患者性别、职业类型、居住地、人均月收入、诊疗付费方式、进藏时间长短、骨折类型等因素影响。Objective To explore the incidence and risk factors of post-traumatic stress disorder(PTSD)in orthopedic patients at high altitudes.Methods A total of 120 cases of orthopedic patients at high altitudes were selected as the research subjects,and the patients were classified according to whether they had PTSD or not.The patients with PTSD were set as the observation group(n=51),and those without PTSD were set as the control group(n=69).The general data and condition of the patients in the two groups were compared,and the incidence and risk factors of PTSD in orthopedic patients at high altitudes were analyzed by univariate analysis and binary Logistics multiple regression analysis.The incidence and risk factors of post-traumatic stress disorder in orthopedic patients were analyzed using univariate analysis and binary logistic multiple regression.Results According to statistics,among the 120 high-altitude orthopedic patients,51 cases(42.50%)were positive for PTSD.There were statistically significant differences in gender,occupation type,place of residence,per capita monthly income,payment method for diagnosis and treatment,length of stay in Xizang,and fracture type between patients with PTSD and those without PTSD(P<0.05).The data of multivariate logistic linear regression model showed that gender,occupation type,place of residence,per capita monthly income,payment method for diagnosis and treatment,length of stay in Xizang,and fracture type were the main risk factors for PTSD in patients with fracture at high-altitudes(OR>1,P<0.05).Conclusion The incidence of PTSD in orthopedic patients at high-altitudes is high,which may be affected by factors such as gender,occupation type,place of residence,per capita monthly income,payment method for diagnosis and treatment,length of stay in Xizang,and type of fracture.

关 键 词：高原 骨折 进藏时间 创伤后应激障碍 影响因素 

分 类 号：R749.5[医药卫生—神经病学与精神病学]