四肢骨折患者出现创伤后应激障碍的状况及其危险因素

The status of Post-traumatic stress disorder in patients with limb fractures and its risk factors

目的探讨四肢骨折患者创伤后出现应激障碍(Post-traumatic stress disorder,PTSD)的情况及其危险因素。方法本研究观察对象为2020年1月~2022年6月80例四肢骨折患者,术后随访3个月,采用事件影响量表-修订版(event scale-revised,IES-R)进行PTSD评估,评估汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA),比较有无PTSD患者的一般资料、焦虑以及抑郁情绪,并通过logistic回归分析法调查PTSD危险因素。结果80例四肢骨折患者发生PTSD 18例;有无PTSD患者年龄、受教育程度、受伤原因、是否残疾等一般资料差异显著(P<0.05),性别、婚姻、住院时间差异不显著(P>0.05);PTSD患者焦虑、抑郁情绪均显著高于对照组(P<0.05);残疾、年龄<40岁、焦虑、抑郁为四肢骨折患者PTSD危险因素。结论四肢骨折患者PTSD发生率较高,焦虑、抑郁情绪等因素会增加PTSD发生风险,应重视四肢骨折患者的心理状态。

Objective To explore the status of Post-traumatic stress disorder in patients with limb fractures and its risk factors.Methods Eighty patients with limb fractures from January 2020 to June 2022 were selected as the study subjects,with postoperative follow-up of 3 months.The Event Scale Revised(IES-R)were used to PTSD assess.The Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were evaluated.The general information,anxiety,and depression of patients with or without PTSD were compared.The risk factors of PTSD were investigated through logistic regression analysis.Results Eighteen out of 80 patients with limb fractures developed PTSD;There were significant differences in general information such as age,education level,cause of injury,and disability among patients with or without PTSD(P<0.05).There were no significant differences in gender,marriage,and length of hospital stay(P>0.05).The anxiety and depression of PTSD patients were significantly higher than those of the control group(P<0.05).Risk factors for PTSD in limb fracture patients included disabilities,age<40 years old,anxiety,and depression.Conclusion The incidence of PTSD is higher in patients with limb fractures,and anxiety and depression can increase the risk of PTSD.Therefore,attention should be paid to the psychological status of patients with limb fractures.