轻度与重度脑外伤后患者的生活质量比较

The Quality of Live in Patient with Mild and Severe Traumatic Brain Injury

目的探讨脑外伤后患者稳定期的生活质量及重度与轻度脑外伤患者在人口统计学,社会功能,神经行为症状之间的差异。方法重度与轻度脑外伤患者通过QOLI,SIP,PIL,HISC,NRS量表进行生活质量,社会功能,生活目的,主观及客观神经行为评价。结果脑外伤患者的生活质量为正常人的1/3程度(66.1±23.4;6.5±2.5),社会功能及生活目的比对照组较低,主观及客观神经行为症状有显著性差异(P<0.01)。重度脑外伤患者比轻度脑外伤患者在社会功能障碍与主观症状尤为突出,但在生活质量,生活目的,客观症状无显著性。结论脑外伤后患者的生活质量在稳定期也明显低于比正常人,重度脑外伤患者比轻度脑外伤患者在社会功能障碍与主观症状尤为突出。

Objective This study was designed to investigate the Quality of Life （QOL）level of the patient with TBI after the symptoms of the sequelae stabilized,and the differences between the patients with Severe and Mild in demographic variables,Psychosocial functioning,and neurobehavioral symptoms.Methods The subjects were composed of patients with STBI and MTBI,Investigated the levels of QOL,psychosocial functioning,purpose in life,and subjective and objective neurobehavioral symptom were rated by QOLI,SIP,PIL,HISC and NRS.Results In comparing the normal control group,QOL level of TBI group remained about 1/3 of that of control（66.1±23.4：6.5±2.5,respectively）.The brain injured patients had significantly lower levels of psychosocial functioning and purpose in life,and more severe subjective and objective neurobehavioral symptoms（P〈0.01）.STBI experienced more severe psychosocial impairment and subjective symptoms than MTBI.However,in QOL and purpose in life level and objective symptoms there were no difference between STBI and MTBI.Conclusion The Quality of live in patient with TBI were also significantly lower than normal people and STBI than the MTBI in social dysfunction and subjective symptoms is particularly prominent.