老年车祸所致骨折患者创伤性应激障碍的发生情况及影响因素

The occurrence rate of traumatic stress disorder in elderly fracture patients caused by traffic accident and its influencing factors

目的探讨老年车祸所致骨折患者创伤性应激障碍(PTSD)的发生情况及影响因素。方法选取我院收治的老年车祸所致骨折患者80例,统计患者入院时一般资料,包括疼痛视觉模拟评分法(VAS)评分、社会支持评定量表(SSRS)评分等,调查伤后1个月时PTSD发生情况,并采用多因素Logistic回归分析患者PTSD的独立影响因素。结果 80例患者中,伤后1个月有26例(32.50%)发生PTSD,纳为PTSD组;54例(67.50%)未发生PTSD,纳为非PTSD组。PTSD组女性、高血压史、合并并发症所占比例及VAS评分显著高于非PTSD组(P<0.05),SSRS评分显著低于非PTSD组(P<0.05)。多因素Logistic回归分析显示,女性、高血压史、并发症、VAS评分、SSRS评分是老年车祸所致骨折患者PTSD的独立影响因素(P<0.05)。结论老年车祸所致骨折患者容易出现PTSD,与性别、高血压史、并发症及社会支持水平、疼痛因素有关。

Objective To explore the occurrence and influence factors of post-traumatic stress disorder(PTSD)in elderly patients with fracture caused by car accident. Methods 80 cases of elderly patients with fracture caused by traffic accident in our hospital were selected. General information of the patients(such as visual analogue scale(VAS)score of pain and social support Rating scale(SSRS)score etc)was collected;The occurrence rate of PTSD after one month of injury was investigated;And independent influencing factors for PTSD were analyzed by multivariate Logistic regression. Results After one month of injury,26(32.50%)patients had PTSD(the PTSD group);54 cases(67.50%)had not PTSD(the non-PTSD group). The proportion of female,history of hypertension,complications and VAS score in PTSD group were significantly higher than those in non PTSD group(P<0.05),and SSRs score was significantly lower than that in non PTSD group(P<0.05). Multivariate logistic regression analysis showed that female,history of hypertension,complications,VAS score and SSRs score were independent influencing factors of PTSD in elderly patients with fracture caused by traffic accident(P<0.05). Conclusion Elderly patients with fracture caused by traffic accident are prone to PTSD,which is related to gender,history of hypertension,complications,social support level and pain factors.