【作者】 刘堂龙； 秦天星； 夏树剑； 董力群；

【Author】 The Psychiatric Hospital of Ningbo City,Ningbo Zhejiang 315032 LIU Tang-long QIN Tian-xing The People’s Hospital of Fenghua City,Fenghua Zhejiang 315500 XIA Shu-jian The First Hospital of Ningbo City,Ningbo Zhejiang 315000,China DONG Li-qun

【机构】 宁波市精神病院； 奉化市人民医院； 宁波市第一医院；

【摘要】 目的对颅脑外伤患者康复期抑郁及其相关因素进行探讨,为进一步干预积累临床资料。方法对111例颅脑外伤康复期患者,采用一般情况调查问卷进行调查,用汉密顿抑郁量表（HAMD）评定抑郁情绪,比较分析患者一般资料和病情与HAMD评分的关系。结果本组患者中,有抑郁情绪84例（75.68%）,出现抑郁障碍53例（47.75%）;HAMD评分与患者年龄、学历、职业、经济状况、有无经济赔偿以及受伤原因有明显关联（F=5.717、11.318、5.136、101.019,t=3.473、2.769,P=0.001、0.000、0.001、0.000、0.001、0.007）,但与患者性别、婚姻状况、户籍地、损伤程度、有无昏迷和其他部位损伤或其他精神障碍无明显关联（均P>0.05）;HAMD评分与患者年龄和家庭人均年收入显著负相关（r=-0.310、-0.608,P=0.001、0.000）;但与病程和昏迷时间无明显相关（均P>0.05）;多元回归分析,仅经济状况、学历和经济赔偿3个因子进入回归方程:y=5.348-0.184x₁+4.457x₂+6.475x₃（F=38.558,P=0.000）。结论颅脑外伤患者在康复期普遍存在抑郁情绪,抑郁障碍的发生率较高,抑郁与心理、社会因素密切相关,经济状况较差、学历较高、无经济赔偿患者,抑郁程度相对较重。临床实践中,要注意这些因素的消极影响,给予切实有效的干预,以促进患者早日康复。更多还原

【Abstract】 Objective To explore the depression in rehabilitation time and its related factors of the patients with craniocerebral injury,to accumulate clinical data for further intervention.Methods 111 patients with craniocerebral injury were investigated with the questionnaire about general condition and Hamilton Depression Scale（HAMD） was used to evaluate their state of depression.To compare and analyse the relationship between the scores of HAMD and the general data or diseasecondition of the patients.Results There were 84 cases of depression（75.68%）and 53 cases of depressive disorder（47.75%） in the group.The score of HAMD was significantly related to the patients’ age,education,profession,economy state,to have or not an economic compensation and the cause of injury（F=5.717,11.318,5.136,101.019,t=3.473,2.769,P=0.001,0.000,0.001,0. 000,0.001,0.007respectively）.However,it was not significantly related to the patients’ gender,marital status, household or severity of the injury,so as to have or not a coma and an injury or a mental disorder other else（all P>0.05）.The score was significantly negatively correlated with the age and the annual family income per person of the patients（r=-0.310,-0.608,P=0.001,0.000）.But not with the course of the disease and coma（all P>0.05）.By multiple regression analysis,only economy state education and to have or not an economic compensation entered into the regression equation:y=5.348-0.184x₁+4.457x₂ +6.475x₃（F=38.558,P=0.000）.Conclusion The patients with craniocerebral injury have a depressed mood generally in rehabilitation time.The rate of depressive disorder is rather high.The depression is related to psychological and social factors.The patients with a worse economy state,a higher education and no economic compensation have a much more serious depression.In the clinic practice,more attention should be paid to these negative factors.Some practical and effective intervention must be done to prompte the patients for recovery early.更多还原