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目的:研究分析脑外伤所致抑郁障碍的影响因素。方法:选取我院2012年5月至2013年5月收治的90例急性颅脑损伤住院治疗后出院的患者,由2名精神科医师根据DSM-IV诊断标准诊断患者是否患者抑郁症,并使用汉密顿抑郁量表(HAMD)评价患者抑郁程度,并通过问卷调查的方式了解患者的一般资料。结果:GCS评分、手术情况、残疾和脑干损伤和脑外伤所致的抑郁障碍有关,其中GCS评分越高其发生抑郁障碍的风险就会越低,手术情况、残疾和脑干损伤会增加抑郁障碍的风险。结论:在对患者进行治疗的时候,需要注意患者的心理变化,对高危患者进行有针对性干预,做到尽早发现、早治疗,有效的降低脑外伤后抑郁障碍的发生率。
Objective: To study the influencing factors of depressive disorder caused by traumatic brain injury. Methods: 90 hospitalized patients with acute craniocerebral injury who were hospitalized in our hospital from May 2012 to May 2013 were discharged. Two psychiatrists diagnosed patients with depression according to DSM-IV diagnostic criteria and used them The Hamilton Depression Rating Scale (HAMD) was used to assess the degree of depression in patients and to obtain general information about patients through questionnaires. Results: The GCS score, operative status, disability and brainstem injury were associated with depressive disorders due to traumatic brain injury. The higher the GCS score, the lower the risk of depressive disorder. Surgical conditions, disability and brainstem injury increased depression The risk of obstacles. Conclusion: In the treatment of patients, we need to pay attention to the psychological changes in patients with high-risk patients targeted intervention, early detection and early treatment, effectively reduce the incidence of depression after traumatic brain injury.