急诊创伤患者ASD发生情况的横断面分析  

Cross-Sectional Analysis of the Occurrence of ASD in Emergency Trauma Patients

作　　者：刘巧惠[1] 郭仁留 吴丽云 LIU Qiaohui;GUO Renliu;WU Liyun(Xiamen University Affiliated Zhongshan Hospital Emergency ICU,Xiamen 361000,China)

机构地区：[1]厦门大学附属中山医院急诊ICU,厦门361000

出　　处：《国际精神病学杂志》2025年第1期220-223,共4页Journal Of International Psychiatry

基　　金：厦门市科技计划项目(编号:35022202142D1063)。

摘　　要：目的进行急诊创伤患者急性应激障碍(acute stress disorder,ASD)发生情况的横断面分析,为ASD的防治提供参考依据。方法纳入2022年11月~2023年10月接收的321例急诊创伤患者,住院期间观察ASD发生情况,比较分析ASD患者与无ASD患者临床资料的差异性,logistic回归分析探讨ASD的危险因素。结果321例患者中104例发生ASD;伴ASD患者与无ASD患者在创伤严重程度、痛疼评分、焦虑情绪、年龄、学历、创伤住院史、家庭月收入、医疗支付方式等方面差异具有统计学意义(P<0.05),性别、创伤类型、婚姻、工作差异无统计学意义(P>0.05);logistic回归分析显示,严重创伤、重度疼痛、焦虑情绪、学历小学及以下、创伤住院史是急诊创伤患者ASD的危险因素。结论急诊创伤患者具有较高的ASD发生率,应重点关注严重创伤、重度疼痛等患者的ASD相关症状的监测,注意预防。Objective To conduct a cross-sectional analysis of the occurrence of acute stress disorder(ASD)in emergency trauma patients to provide a reference basis for the prevention and treatment of ASD.Methods 321 emergency trauma patients admitted from November 2022 to October 2023 were included.The occurrence of ASD was observed during hospitalization.Differences in clinical data between patients with ASD and those without ASD were compared and analyzed.Logistic regression analysis was performed to explore the risk factors of ASD.Results ASD occurred in 104 of the 321 patients.The differences between patients with ASD and those without ASD were statistically significant in terms of trauma severity,pain and ache scores,anxiety,age,education,trauma hospitalization history,monthly family income,and healthcare payment method(P<0.05).Differences in gender,trauma type,marriage,and work were not statistically significant(P>0.05).Logistic regression analysis showed that severe trauma,severe pain,anxiety,education elementary school and below,and trauma hospitalization history were risk factors for ASD in emergency trauma patients.Conclusion Emergency trauma patients have a high incidence of ASD and should be monitored with a focus on ASD-related symptoms in patients with severe trauma and severe pain,with attention to prevention.

关 键 词：急诊创伤 急性应激障碍 横断面分析 危险因素 

分 类 号：R749[医药卫生—神经病学与精神病学]