CAJ | 학술논문

目的分析严重胸部钝性伤(severe blunt chest trauma,sBCT)患者伤后近期生活质量、创伤后应激障碍(posttraumatic stress disorder,PTSD)及其相关影响因素. 方法收集2011年1月-2011年12月符合标准的sBCT患者的人口统计学和临床资料,采用简明健康状况调查量表(short-form-36 health survey,SF-36)和事件影响量表(impact of event scale-revised,IES-R)分别对患者伤后1,3,6个月的生活质量与PTSD情况进行评价.伤后影响生活质量的相关危险因素采用Logistic回归分析. 结果本研究共纳入107例患者,最终完成6个月随访的患者83例.伤后6个月SF-36评分仍较低,且有1/3患者处于中、重度PTSD症状.影响伤后生活质量的主要危险因素有年龄、ISS≥20分、合并颅脑损伤、合并脊柱和骨盆损伤、伤后并发症及PTSD. 结论 sBCT患者伤后近期生活质量较差,通过识别特异性危险因素而进行早期干预可能有利于改善患者的生活质量.
목적 분석엄중흉부둔성상(severe blunt chest trauma,sBCT)환자상후근기생활질량、창상후응격장애(posttraumatic stress disorder,PTSD)급기상관영향인소. 방법 수집2011년1월-2011년12월부합표준적sBCT환자적인구통계학화림상자료,채용간명건강상황조사량표(short-form-36 health survey,SF-36)화사건영향량표(impact of event scale-revised,IES-R)분별대환자상후1,3,6개월적생활질량여PTSD정황진행평개.상후영향생활질량적상관위험인소채용Logistic회귀분석. 결과 본연구공납입107례환자,최종완성6개월수방적환자83례.상후6개월SF-36평분잉교저,차유1/3환자처우중、중도PTSD증상.영향상후생활질량적주요위험인소유년령、ISS≥20분、합병로뇌손상、합병척주화골분손상、상후병발증급PTSD. 결론 sBCT환자상후근기생활질량교차,통과식별특이성위험인소이진행조기간예가능유리우개선환자적생활질량.
Objective To assay the early quality of life and posttraumatic stress disorder (PTSD) and relating influential factors in patients with severe blunt chest trauma (sBCT).Methods Demographic and clinical data of sBCT patients treated between January 2011 and December 2011 were collected.Early quality of life and PTSD symptom level at posttraumatic months 1,3,and 6 were analyzed by using short form 36 health survey (SF-36) and impact of event scale-revised (IES-R) respectively.Furthermore,logistic regression analysis was performed to identify the risk factors associated with quality of life of the patients.Results A total of 107 patients were included in the study.Ultimately,83 patients were available to the 6-month follow-up.A low score for SF-36 remained at posttraumatic 6 months and one-third of the 83 patients sustained mild or severe PTSD symptoms.Major influential factors to posttraumatic quality of life included age,ISS ≥ 20,combined craniocerebral injury,combined spinal and pelvic injuries,posttraumatic complications,and PTSD.Conclusions Early quality of life in sBCT patients is poor.Therefore,the early intervention with identification of specific risk factors is contributive to better quality of life.