摘要
目的 探讨重型颅脑损伤后精神障碍的发生率、表现形式及影响因素。方法 以深圳市 1 999年 1 0月 1日至 2 0 0 0年 9月 3 0日因交通事故所致重型颅脑损伤的 1 83例幸存者为研究对象 ,在颅脑损伤治疗后 (平均 6个月 ) ,由 2名精神科副主任医师根据中国精神疾病分类方案与诊断标准第 2版修订本对这些伤者的精神状态进行评估。结果 ( 1 )在 1 83例中 ,罹患各类精神障碍者共 1 65例 ,发生率为 90 2 % ,其中智能障碍者为 1 42例 ( 77 6% )。 ( 2 )在 1 83例中 ,中度及其以上智力损伤者为 2 9例 ( 1 5 8% )。 ( 3 )有智力损伤组的脑干损伤、颅内血肿及≥ 3个脑叶损伤的比例高于无智力损伤组 (P <0 0 1 ) ;伴有精神障碍组的平均年龄 (P <0 0 5)、脑干损伤 (P <0 0 5)及≥ 3个脑叶损伤 (P <0 0 1 )的比例高于无精神病性障碍组 ;有人格改变组额叶损伤、开颅清除血肿并减压治疗的比例高于无人格改变组 (P <0 0 1 )。结论 重型颅脑创伤后精神障碍的发生率较高 ,应引起有关临床学科的重视。
Objective To explore the prevalence rates, manifestations and their related factors of mental disorders due to severe traumatic brain injuries Methods Based on CCMD 2 R, 183 subjects with severe traumatic brain injury who survived from vehicle accidents in Shenzhen from Oct 1, 1999 to Sep 30, 2000 were assessed by two psychiatrists after 6 months Results The total incidence of mental disorders in this group was 90 2% (165/183), 77 6% of those subjects suffered from intellectual impairments, 19 7% had neurotic syndromes, 10 4% had psychotic syndromes, and 9 3% had secondary personality change Amnestic disorder, depressive or manic syndrome could be seen in some subjects as well Conclusion The prevalence rate of mental disorders is high in the patients with severe brain injury It is necessary to give mental intervention to the patients with mental disorders due to traumatic brain injuries
出处
《中华精神科杂志》
CAS
CSCD
北大核心
2001年第4期215-218,共4页
Chinese Journal of Psychiatry
