文章摘要
徐水琴,陈三妹,张登科.颅脑损伤患者精神障碍和相关因素分析[J].中华流行病学杂志,2013,34(5):520-522
颅脑损伤患者精神障碍和相关因素分析
Risk factors related to mental disorder in patients with craniocerebral injury
收稿日期:2013-01-22  出版日期:2014-09-17
DOI:10.3760/cma.j.issn.0254-6450.2014.02.023
中文关键词: 颅脑损伤;精神障碍;危险因素
英文关键词: raniocerebral injury;Mental disorder;Risk factors
基金项目:教育部人文社会科学研究青年基金(09YJCXLX019);绍兴市哲学社会科学研究“十二五”规划重点课题(125219)
作者单位E-mail
徐水琴 绍兴文理学院护理系, 12000
附属医院精神科 
shuiqinxu@sina.Com 
陈三妹 绍兴文理学院护理系, 12000  
张登科 绍兴文理学院护理系, 12000  
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中文摘要:
      目的 探讨颅脑损伤患者与伴发精神障碍的相关性,并分析其相关因素。方法 选取2008年9月至2012年9月颅脑损伤患者342例,统计和分析患者的人口学资料(性别、年龄、文化程度、职业和家庭满意度),并进行头部CT扫描检查和智商、记忆商测试以及SCID一1/P、PDQC、SCICP评估。分析患者一般资料及颅脑损伤性质、程度、部位与发生精神障碍的相关性,采用logistic多因素回归分析独立危险因素。结果 342例颅脑损伤患者伴发精神障碍249例,发生率为72.8%。其中抑郁症117例(47.0%),焦虑障碍95例(38.2%),躁狂症27例(10.8%),智能和记忆障碍69例(27.7%)。经相关分析显示颅脑损伤患者的年龄、文化程度、职业和家庭满意度及颅脑损伤性质、程度、部位均与伤后伴发精神障碍相关,logistic多因素回归分析显示患者年龄(0刚直>1.04)、颅脑损伤程度(OR值>1.28)和颅脑损伤部位(OR值>1.31)为颅脑损伤患者伴发精神障碍的独立危险因素。结论 颅脑损伤伴精神障碍发生率较高,患者年龄、颅脑损伤程度和部位是伴发精神障碍的独立危险因素。
英文摘要:
      0bjective To explore the correlation between mental disorder and craniocerebral injury.and notifying its related risk factors.Methods 342 patients from Sep.2008 to Sep.2012 with craniocerebral iniury were selected and related elinical data on general their conditions,including sex, age.educational level.satisfaction on careers and relations to family were collected.All the patients received CT-scans to the head,IO test,MQ test,SCID一1/P,PDQC and SCICP detection.Multivariate logistic regression was used to analyze the general information and cerebral injurious conditions of patients regarding the incidence of mental disorders.Results 249 patients with mental disorder were noticed out of the total 342 patients with craniocerebral injury,with the incidence rate as 72.8% including 117 depression(47.0%).95 anxiety disorders(38.2%),27 mania(10.8%),69 intelligence and memory disorders(27.7%)cases.Data from correlation analysis showed that factors as sex,age,educationaI level,satisfaction on careers and family of patients as well as type,severity and location of the craniocerebral injuries appeared to have important correlation with mental disorder.Results also showedthatthe ageofpatients(OR>1.04),sevefity andlocationofthe craniocerebralinjuries(OR1>1.28,OR2>1.31)wereindependent riskfactors(PConclusion The age ofpatients,sevedty and location of the craniocerebral injuries were independent risk factors for mental disorder in patients with craniocerebral injury.
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