CAJ | 학술논문

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。
목적：탐구뇌외상소치억욱장애적영향인소。방법회고성분석아원2011년2월—2013년2월수치적60례뇌외상환자적림상자료，장환자안시부출현억욱장애분위량조，1조위뇌외상무억욱장애환자（30례），2조위뇌외상억욱장애환자（30례），분석뇌외상소치억욱장애적영향인소。결과량조환자입원시격랍사가혼미량표（GCS）평분비교，차이유통계학의의（P 〈0.05）。1조환자수술치료자소점비례，로내혈종、뇌간손상급치료후잔질발생솔균저우2조，차이유통계학의의（ P 〈0.05）；1조환자손상범위초과3개뇌협자0례，2조위5례（16.7％），차이유통계학의의（P 〈0.05）。결론입원시 GCS 평분、수술치료、로내출혈、뇌간손상급치료후잔질균위뇌외상소치억욱장애적영향인소，수의호인원밀절관주。
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 lo-bars,the difference was significantly different(P 〈 0. 05). Conclusion GCS score at admission,operation,intracranial he-matoma,brain stem injuries and disability are influencing factors of brain injuries - induced depression disorder,which need Doctors and nurses pay more attention to.