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脑外伤所致抑郁障碍的影响因素探究

Influencing Factors of Brain Injuries-induced Depression Disorder

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【作者】 陈征新

【Author】 CHEN Zheng-xin;Department of Neurosurgery,Peolple’s Hospital of Donghai County;

【机构】 江苏省东海县人民医院神经外科

【摘要】 目的探究脑外伤所致抑郁障碍的影响因素。方法回顾性分析我院2011年2月—2013年2月收治的60例脑外伤患者的临床资料,将患者按是否出现抑郁障碍分为两组,1组为脑外伤无抑郁障碍患者(30例),2组为脑外伤抑郁障碍患者(30例),分析脑外伤所致抑郁障碍的影响因素。结果两组患者入院时格拉斯哥昏迷量表(GCS)评分比较,差异有统计学意义(P<0.05)。1组患者手术治疗者所占比例,颅内血肿、脑干损伤及治疗后残疾发生率均低于2组,差异有统计学意义(P<0.05);1组患者损伤范围超过3个脑叶者0例,2组为5例(16.7%),差异有统计学意义(P<0.05)。结论入院时GCS评分、手术治疗、颅内出血、脑干损伤及治疗后残疾均为脑外伤所致抑郁障碍的影响因素,需医护人员密切关注。

【Abstract】 Objective To analyze the influencing factors of brain injuries-induced depression disorder. Methods Clinical data of 60 patients with brain injuries admitted to our hospital from February 2011 to February 2013 was retrospectively analyzed,and they were divided into A( without depression disorder,n = 30) and B group( with depression disorder,n =30),according to the occurrence of depression disorder. Influencing factors of brain injuries-induced depression disorder were analyzed. Results The GCS score at admission of A group was better than that of control group,the difference was significantly different( P < 0. 05). The operation proportion,incidences of intracranial hematoma,brain stem injuries and disability of A group were lower than those of B group,the differences were significantly different( P < 0. 05). Thereinto,no one of A group occurred damage that ranged over three lobars,while 5 cases( 16. 7%) of B group occurred damage that ranged over three lobars,the difference was significantly different( P < 0. 05). Conclusion GCS score at admission,operation,intracranial hematoma,brain stem injuries and disability are influencing factors of brain injuries-induced depression disorder,which need Doctors and nurses pay more attention to.

【关键词】 脑损伤抑郁影响因素分析
【Key words】 Brain InjuriesDepressionRoot cause analysis
  • 【文献出处】 临床合理用药杂志 ,Chinese Journal of Clinical Rational Drug Use , 编辑部邮箱 ,2014年36期
  • 【分类号】R749.12
  • 【被引频次】3
  • 【下载频次】48
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