颅脑外伤患者创伤后应激障碍的影响因素分析  

Influencing factors analysis of post-traumatic stress disorder in patients with craniocerebral trauma

作　　者：黄德敏 卢宏强 李丹 HUANG Demin;LU Hongqiang;LI Dan(Department of Emergency,Huzhou Third People's Hospital,Huzhou 313000,China)

机构地区：[1]湖州市第三人民医院急诊科,浙江湖州313000 [2]湖州市第三人民医院ICU,浙江湖州313000

出　　处：《全科医学临床与教育》2025年第3期234-237,共4页Clinical Education of General Practice

摘　　要：目的 分析颅脑外伤患者创伤后应激障碍(PTSD)的影响因素。方法 回顾性分析318例颅脑外伤患者临床资料,根据是否发生PTSD分为PTSD组及非PTSD组,分析两组患者年龄、性别、婚姻关系、个人收入水平、受教育年限等一般资料、疾病情况(致伤原因、颅脑外伤损伤程度、预计治疗结局)、并发症情况(并发症数量、合并颅内感染、合并低血氧症、合并脑水肿、合并脑积水、合并颅内高压)差异,采用多因素logistic回归分析颅脑外伤患者发生PTSD的影响因素。结果 318例颅脑外伤患者中出现PTSD者96例,占总数30.19%;PTSD组与非PTSD组患者之间的年龄、性别、受教育年限、颅脑外伤损伤程度、预计治疗结局、并发症数量比较,差异均有统计学意义(χ^(2)分别=8.79、8.01、12.73、27.87、38.55、11.97,P均<0.05),多因素logistic回归分析显示,年龄≥45岁、女性、受教育年限<12年、颅脑外伤重度、预计残疾、并发症数量>2个均是影响颅脑外伤患者发生PTSD的独立危险因素(OR分别=1.90、1.94、1.73、1.81、1.77、1.55,P均<0.05)。结论 颅脑外伤患者PTSD发生与年龄≥45岁、女性、受教育年限<12年、重度损伤、预计残疾及并发症>2个密切相关,需针对上述高危人群早期干预以降低PTSD风险。Objective To analyze the influencing factors of post-traumatic stress disorder(PTSD)in patients with craniocerebral trauma.Methods The clinical data of 318 patients with craniocerebral trauma were retrospectively analyzed.According to whether PTSD occurred,they were divided into PTSD group and non-PTSD group.The general data such as age,gender,marital relationship,personal income level and years of education,disease status(cause of injury,craniocerebral trauma injury degree,expected treatment outcome),and complications(number of complications,intracranial infection,hypoxemia,cerebral edema,hydrocephalus,intracranial hypertension)were compared between the two groups.Multivariate logistic regression analysis was used to analyze the influencing factors of PTSD in patients with craniocerebral trauma.Results Among the 318 patients with craniocerebral trauma,there were 96 cases of PTSD,accounting for 30.19% of the total.There were statistical differences in age,gender,years of education,injury degree of craniocerebral trauma,expected treatment outcome and number of complications between PTSD group and non-PTSD group(χ^(2)=8.79,8.01,12.73,27.87,38.55,11.97,P<0.05).Multivariate logistic regression analysis found that age≥45 years old,female,years of education<12 years,severe craniocerebral trauma,expected disability,and number of complications>2 were all independent risk factors for developing PTSD in patients with traumatic brain injury(OR=1.90,1.94,1.73,1.81,1.77,1.55,P<0.05).Conclusion The occurrence of PTSD in patients with craniocerebral trauma is closely related to age≥45 years old,female,years of education<12 years,severe injury,expected disability and number of complications>2.It is necessary to take early intervention for the above high-risk population to reduce the risk of PTSD.

关 键 词：颅脑外伤 创伤后应激障碍 影响因素 手术 

分 类 号：R74[医药卫生—神经病学与精神病学]