中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2013年
5期
520-522
,共3页
颅脑损伤%精神障碍%危险因素
顱腦損傷%精神障礙%危險因素
로뇌손상%정신장애%위험인소
Craniocerebral injury%Mental disorder%Risk factors
目的 探讨颅脑损伤患者与伴发精神障碍的相关性,并分析其相关因素.方法 选取2008年9月至2012年9月颅脑损伤患者342例,统计和分析患者的人口学资料(性别、年龄、文化程度、职业和家庭满意度),并进行头部CT扫描检查和智商、记忆商测试以及SCID-1/P、PDQC、SCICP评估.分析患者一般资料及颅脑损伤性质、程度、部位与发生精神障碍的相关性,采用logistic多因素回归分析独立危险因素.结果 342例颅脑损伤患者伴发精神障碍249例,发生率为72.8％.其中抑郁症117例(47.0％),焦虑障碍95例(38.2％),躁狂症27例(10.8％),智能和记忆障碍69例(27.7％).经相关分析显示颅脑损伤患者的年龄、文化程度、职业和家庭满意度及颅脑损伤性质、程度、部位均与伤后伴发精神障碍相关,logistic多因素回归分析显示患者年龄(OR 值＞1.04)、颅脑损伤程度(OR值＞1.28)和颅脑损伤部位(OR值＞1.31)为颅脑损伤患者伴发精神障碍的独立危险因素.结论 颅脑损伤伴精神障碍发生率较高,患者年龄、颅脑损伤程度和部位是伴发精神障碍的独立危险因素.
目的 探討顱腦損傷患者與伴髮精神障礙的相關性,併分析其相關因素.方法 選取2008年9月至2012年9月顱腦損傷患者342例,統計和分析患者的人口學資料(性彆、年齡、文化程度、職業和傢庭滿意度),併進行頭部CT掃描檢查和智商、記憶商測試以及SCID-1/P、PDQC、SCICP評估.分析患者一般資料及顱腦損傷性質、程度、部位與髮生精神障礙的相關性,採用logistic多因素迴歸分析獨立危險因素.結果 342例顱腦損傷患者伴髮精神障礙249例,髮生率為72.8％.其中抑鬱癥117例(47.0％),焦慮障礙95例(38.2％),躁狂癥27例(10.8％),智能和記憶障礙69例(27.7％).經相關分析顯示顱腦損傷患者的年齡、文化程度、職業和傢庭滿意度及顱腦損傷性質、程度、部位均與傷後伴髮精神障礙相關,logistic多因素迴歸分析顯示患者年齡(OR 值＞1.04)、顱腦損傷程度(OR值＞1.28)和顱腦損傷部位(OR值＞1.31)為顱腦損傷患者伴髮精神障礙的獨立危險因素.結論 顱腦損傷伴精神障礙髮生率較高,患者年齡、顱腦損傷程度和部位是伴髮精神障礙的獨立危險因素.
목적 탐토로뇌손상환자여반발정신장애적상관성,병분석기상관인소.방법 선취2008년9월지2012년9월로뇌손상환자342례,통계화분석환자적인구학자료(성별、년령、문화정도、직업화가정만의도),병진행두부CT소묘검사화지상、기억상측시이급SCID-1/P、PDQC、SCICP평고.분석환자일반자료급로뇌손상성질、정도、부위여발생정신장애적상관성,채용logistic다인소회귀분석독립위험인소.결과 342례로뇌손상환자반발정신장애249례,발생솔위72.8％.기중억욱증117례(47.0％),초필장애95례(38.2％),조광증27례(10.8％),지능화기억장애69례(27.7％).경상관분석현시로뇌손상환자적년령、문화정도、직업화가정만의도급로뇌손상성질、정도、부위균여상후반발정신장애상관,logistic다인소회귀분석현시환자년령(OR 치＞1.04)、로뇌손상정도(OR치＞1.28)화로뇌손상부위(OR치＞1.31)위로뇌손상환자반발정신장애적독립위험인소.결론 로뇌손상반정신장애발생솔교고,환자년령、로뇌손상정도화부위시반발정신장애적독립위험인소.
Objective To explore the correlation between mental disorder and craniocerebral injury,and notifying its related risk factors.Methods 342 patients from Sep.2008 to Sep.2012 with craniocerebral injury were selected and related clinical data on general their conditions,including sex,age,educational level,satisfaction on careers and relations to family were collected.All the patients received CT-scans to the head,IQ test,MQ test,SCID-1/P,PDQC and SCICP detection.Multivariate logistic regression was used to analyze the general information and cerebral injurious conditions of patients regarding the incidence of mental disorders.Results 249 patients with mental disorder were noticed out of the total 342 patients with craniocerebral injury,with the incidence rate as 72.8％ including 117 depression (47.0％),95 anxiety disorders (38.2％),27 mania (10.8％),69 intelligence and memory disorders (27.7％) cases.Data from correlation analysis showed that factors as sex,age,educational level,satisfaction on careers and family of patients as well as type,severity and location of the craniocerebral injuries appeared to have important correlation with mental disorder.Results also showed that the age of patients (OR ＞ 1.04),severity and location of the craniocerebral injuries (OR1 ＞1.28,OR2＞ 1.31) were independent risk factors (P＜0.05).Conclusion The age of patients,severity and location of the craniocerebral injuries were independent risk factors for mental disorder in patients with craniocerebral injury.
