眼外伤患者发生创伤后应激障碍的危险因素  

Risk factors for post traumatic stress disorder in patients with eye trauma

作　　者：王玉琛 苏宇玉 杨军 WANG Yuchen;SU Yuyu;YANG Jun(Eye,Ear,Nose and Throat Department of Haikou Third People's Hospital,Haikou 571100,Ch)

机构地区：[1]海口市第三人民医院眼耳鼻喉科,海口571100 [2]海南省眼科医院眼科

出　　处：《国际精神病学杂志》2025年第1期283-286,共4页Journal Of International Psychiatry

基　　金：海南省卫生计生行业科研项目(编号:19A200019)。

摘　　要：目的 探讨眼外伤患者发生创伤后应激障碍(Post-Traumatic Stress Disorder,PTSD)的危险因素。方法 回顾性分析2020年1月~2022年12月本院收治的90例眼外伤患者的临床资料,入院后采用PTSD自评量表(Post-Traumatic Stress Disorder Self-Rating Scale,PTSD-SS)评估患者是否发生PTSD,根据PTSD-SS评分结果分为未发生组(n=60)与发生组(n=30)。比较两组一般资料[性别、年龄、致伤原因、致伤类型、致伤部位、]以及心理弹性量表中文版(Chinese version of the ConnorDavidson Resilience Scale,CD-RISC)、社会支持评定量表(Social Support Rating Scale,SSRS)间的差异,经多因素Logistic回归分析眼外伤患者发生PTSD的危险因素。结果 未发生组性别为女性、年龄18~40岁占比显著低于发生组,SSRS评分、CD-RISC评分高于发生组,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,性别为女性、年龄18~40岁、SSRS评分、CD-RISC评分是眼外伤患者发生PTSD的危险因素。结论 眼外伤患者发生PTSD受诸多因素影响,其中性别为女性、年龄18~40岁、SSRS评分、CD-RISC评分可预测该疾病发生PTSD,临床应予以密切关注。Objective To explore the risk factors of post traumatic stress disorder(Post-Traumatic Stress Disorder,PTSD)in patients with eye trauma.Methods A retrospective analysis was conducted on the clinical data of 90 patients with eye trauma admitted to our hospital from January 2020 to December 2022.After admission,the PTSD Self Rating Scale(Post-Traumatic Stress Disorder Self-Rating Scale,PTSD-SS)was used to assess whether the patients had developed PTSD.Based on the scoring results,the patients were divided into a non occurring group(n=60)and an occurring group(n=30).Compare the differences between two groups of general data[gender,age,cause of injury,type of injury,site of injury],as well as the Chinese version of the Psychological Resilience Scale(Chinese version of the Connor-Davidson Resilience Scale,CD-RISC)and the Social Support Rating Scale(Social Support Rating Scale,SSRS),and analyze the risk factors for PTSD in eye injury patients through multiple logistic regression analysis.Results The gender of the non occurring group was female,and the proportion of 18-40 years old was significantly lower than that of the occurring group.The SSRS score and CD-RISC score were higher than those of the occurring group,and the difference was statistically significant(P<0.05).The results of multivariate logistic regression analysis showed that gender,age 18-40 years old,SSRS score,and CD-RISC score were risk factors for PTSD in patients with eye trauma.Conclusion The occurrence of PTSD in patients with eye trauma is influenced by many factors,including gender,age 18-40 years old,SSRS score,and CD-RISC score,which can predict the occurrence of PTSD in this disease.Clinical attention should be paid closely.

关 键 词：眼外伤 创伤后应激障碍 心理弹性 社会支持 

分 类 号：R749.2[医药卫生—神经病学与精神病学]