颅脑损伤患者术后创伤后成长与创伤后应激障碍的相关性

目的观察颅脑损伤患者术后创伤后成长水平及创伤后应激障碍(PTSD)情况,分析创伤后成长水平与PTSD的关系。方法选取2017-02—2019-02郑州市第九人民医院手术治疗的63例颅脑损伤患者,所有患者术后1个月接受创伤后成长评定量表(PTGI)评估,依据评估结果分为高水平组与低水平组,调查2组一般资料并评估患者术后PTSD评分,分析颅脑损伤患者术后PTSD与创伤后成长水平较低的关系。结果63例颅脑损伤患者经外科手术治疗后,创伤后成长低水平患者43例(68.25%)。不同创伤后成长水平的颅脑损伤患者年龄、性别、婚姻、职业、家庭月收入、发病原因、疾病类型、居住环境情况比较差异无统计学意义(P>0.05);低水平患者受教育年限(<12 a)、PTSD评分高于高水平患者,差异有统计学意义(P<0.05)。相关性分析显示,颅脑损伤患者术后创伤后成长与PTSD间呈负相关(r<0,P<0.05)。经单项Logistic回归分析,建立多元回归模型,在在校正各基线资料带来的影响后,结果显示受教育年限(<12 a)、PTSD可能是颅脑损伤患者术后创伤后成长水平低下的影响因素(OR>1,P<0.05)。结论颅脑损伤患者术后创伤后应激水平偏低,可能与PTSD有关,未来可考虑通过颅脑损伤术后早期评估患者是否伴有PTSD指导干预,可能对提高患者创伤后成长水平有积极意义。

Correlation between post-traumatic growth and post-traumatic stress disorder in patients with brain injury

Objective To observe the post-traumatic growth level and post-traumatic stress disorder(PTSD)of patients with brain injury,mainly to analyze the relationship between post-traumatic growth level and PTSD.Methods A total of 63 patients with brain injury who underwent surgical treatment in the hospital from February 2017 to February 2019 were selected.All patients were evaluated by the post-traumatic growth rating scale(PTGI)1 month after surgery,and were divided into a high-level group and a low-level group according to the evaluation results.The general information of the two groups were investigated,and the postoperative PTSD score of the patient was evaluated.The relationship between postoperative PTSD and lower post-traumatic growth in patients with brain injury were analyzed.Results Among 63 patients with craniocerebral injury after surgical treatment,43 patients had low level of post-traumatic growth,accounting for 68.25%;compared the proportions of age,gender,marriage,occupation,family monthly income,cause of illness,disease type,and living environment of patients with brain injury at different levels of post-traumatic growth,the difference was not statistically significant(P>0.05);the years of education of low-level patients(<12 years)and PTSD score were higher than those of high-level patients,the difference was statistically significant(P<0.05);the results of correlation analysis showed that post-traumatic growth of patients with brain injury was negatively correlated with PTSD(r<0,P<0.05);after a single lo?gistic regression analysis,a multiple regression model was established.After adjusting for the impact of each baseline data,the results showed that years of education(<12 years)and PTSD might be the influencing factors of low post-traumatic growth in patients with brain injury(OR>1,P<0.05).Conclusion Post-traumatic stress levels in patients with brain injury are low,which may be related to PTSD.In the future,we can consider early assessment of patients with PTSD after brain injury and guide early intervention,which may be of positive significance to improve the growth level of patients after trauma.