轻型颅脑损伤患者的心理健康状态分析

Psychological status of patients with mild traumatic brain injury

目的了解轻型颅脑损伤患者的心理健康状态。方法采用前瞻对比性研究,选取110例轻型颅脑损伤患者作为调查对象(病例组),采用症状自评量表(SCL-90)评定其心理健康状态,以本地100例正常人SCL-90评分结果作为对照组,对两组的调查结果进行统计学分析。结果病例组患者的SCL-90评分总分,以及躯体化、强迫、忧郁、焦虑因子分项目中的分数均高于对照组,两者比较差异均有统计学意义(P<0.05);病例组中发生明显焦虑55例(50.0%),明显抑郁症状63例(57.3%),而对照组中则分别为5例(5.0%)和3例(3.0%),两者比较差异具有显著统计学意义(P<0.01),而其余因子项目比较差异则均无统计学意义(P>0.05)。结论轻型颅脑损伤患者存在较多的心理问题,以忧郁及焦虑表现为主,应及时进行心理干预。

Objective To analyze the mental health status of patients with mild traumatic brain injury（MTBI）. Methods Using prospective comparative study, 110 patients with MTBI were selected as the subjects（the study group）. One hundred healthy people were used as the control group. Symptom checklist 90（SCL-90） was used to assess the mental health status. The results of the two groups were statistically analyzed. Results In the study group,the SCL-90 total score and the sub item scores of somatization, compulsion, depression and anxiety factor were significantly higher than those in the control group（P〈0.05）. There were 55 cases（50.0%） of obvious anxiety and 63 cases（57.3%） of obvious depressive symptoms in the study group, 5 cases（5.0%） of obvious anxiety and 3 cases（3.0%） of obvious depressive symptoms in the control group, with statistically significant difference between the two groups（P〈0.01）. No significant difference was found in other items. Conclusion The patients of MTBI have more psychological problems, mainly depression and anxiety. Psychological intervention should be carried out in time.