【摘要】 目的探讨脑外伤相关因素与精神障碍发生的关联性。方法随机选择纳入某院2010年1月～2011年6月因意外事故或其他原因导致的脑外伤患者80例,40例患者为脑外伤后导致了早期的精神障碍患者(精神障碍组),40例患者为脑外伤后未出现精神障碍的患者(对照组),采用格拉斯哥昏迷评分(GCS)、SF-36量表和艾森克人格问卷(EPQ)对80例患者进行问卷调查,并比较两组患者以上调查内容的差异。结果是否有经济赔偿、两组患者入院时意识得分(CGS)、两组患者生命质量的躯体健康(PCS)和精神健康得分(MCS)、和EPQ评分在精神障碍组与对照组差异有统计学意义(P﹤0.05)。非条件Logistic回归分析发现,患者GCS评分高于8分和EPQ评分小于25分显著性的能降低患者患精神障碍的可能性(P﹤0.001)。PCS和MCS评分越低,患者患精神障碍可能性越高,差异具有统计学意义(P﹤0.001)。结论脑外伤所致精神障碍与损伤后昏迷程度有一定关联,同时与患者的人格特征密切联系。今后在对脑外伤患者治疗的过程中,不但要针对脑外伤本身进行有效的治疗,更应该从人格特征和认知的角度出发,开展相应的心理学干预。更多还原

【Abstract】 OBJECTIVE To explore the association between traumatic brain injury and psychiatric disorders. METHODS A total of 80 patients were randomly selected from Jan. 2010 to Jun. 2011, 40 patients had psychiatric disorders due to traumatic brain injury, and 40 patients without psychiatric disorders were also selected. GCS, SF-36 and EPQ were applied to investigate all the patients. RESULTS The economic compensation, CGS, PCS, MCS and EPQ showed significant difference between the psychiatric disorders group and control group (P﹤0.05). The unconditional Logistic regression found that the GCS﹥8 and EPQ﹤25 could significantly decrease the possibility of psychiatric disorders (P﹤0.001). The lower score of PCS and MCS showed that the higher possibility of psychiatric disorders could be found (P﹤0.001). CONCLUSION The traumatic brain injury has a certain association with CGS, and has close association with personality characteristics. In the future, related treatment should be made not only for the traumatic brain injury, but also for the mental health of patients.更多还原