【摘要】 目的 研究颅脑外伤后患者的抑郁症状及相关因素。方法 对63例急性期颅脑外伤患者,采用标准化测评工具,包括《格拉斯哥昏迷评分(GCS)》、《汉密顿抑郁量表(HRSD)》、《社会支持评定量表》、《日常生活能力量表》及自制颅脑外伤患者人口学与相关因素调查表等,逐例进行现场临床测评,汇总资料进行整理、分析。所有统计分析均使用SAS软件包完成。结果 颅脑外伤患者抑郁症状的发生率为42.86％,其中,重度、中度、轻度抑郁的发生率分别为3.17％、7.93％、31.74％。不同外伤类型、年龄、性格、外伤原因及患者对外伤持不同态度的颅脑外伤患者抑郁症状的发生率存在显著性差异,主要影响颅脑外伤后抑郁症状的因素有外伤程度、性格、社会支持、病理征及年龄。结论 提示除了外伤的生物学影响外,抑郁的发生与患者个体的生理心理特点和社会环境因素密切相关。更多还原

【Abstract】 Objective To study depressive symptom and affecting factors after traumatic brain injury(TBI). Methods 63 patients were observed and evaluated by standard tools including GCS, Hamilton Depression Rating Scale for De-pression(HRSD),Social Support Scale Activity of Daily living Scale,and self- made questionnaires. Database was then established. Clinical materials were analysed by using SAS statistical package. Results Incidence of depression was 42.86, i. e. severe, moderate and slight attack were 3.17%, 7.93%,31.74% respectively. Significant difference was detected in groups of different categories of TBI, age, personality, cause of TBI and attitude of patients. Main influencing factors were severity of head injury, personality, social support, pathological signs and age. Conclusion It is suggested that depressive symptom is not only affected by biological factors but also affected by individual physiopsychological traits and social environmental factors.更多还原