脑损伤血肿特征与精神障碍的关系

Relationship between the characteristics of brain injury hematoma and mental disorders

目的探讨脑损伤患者颅内血肿特征与精神障碍的关系。方法纳入2019年1月~2023年6月100例脑损伤合并颅内血肿患者的临床资料,观察住院期间精神障碍发生情况,收集患者颅脑影像资料,比较是否发生精神障碍患者血肿特征,多因素分析血肿特征与精神障碍的关系。结果100例患者34例发生精神障碍;是否发生精神障碍患者血肿体积、累及脑叶、血肿发生时间、血肿分布差异均具有统计学意义(P<0.05),血肿侧别差异无统计学意义(P>0.05);将差异具有统计学意义的变量纳入多因素logistic回归分析,结果显示,血肿累及额叶、血肿累及颞叶、血肿体积>30mL、急性期血肿是脑损伤患者精神障碍的危险因素。结论脑损伤合并颅内血肿患者精神障碍发生率较高,其中血肿累及额叶、血肿累及颞叶、血肿体积较大可能增加精神障碍发生风险,应注意防治。

Objective To explore the relationship between intracranial hematoma characteristics and mental disorders in patients with brain injury.Methods The clinical data of 100 patients with brain injury combined with intracranial hematoma from January 2019 to June 2023 were included.The occurrence of mental disorders during hospitalization were observed.The patient cranial imaging data were collected.The characteristics of hematoma in patients with mental disorders were compared.Multivariate analysis of the relationship between hematoma characteristics and mental disorders.Results 34 out of 100 patients developed mental disorders;There were statistically significant differences in hematoma volume,involvement of cerebral lobes,occurrence time,and distribution among patients with mental disorders(P<0.05).There was no statistically significant difference in the side profile of hematoma(P>0.05).The variables with statistical significance were included in the multivariate logistic regression analysis,and the results showed that hematoma involving the frontal lobe,hematoma involving the temporal lobes,hematoma volume>30mL,and acute phase hematoma were risk factors for mental disorders in patients with brain injury.Conclusion The incidence of mental disorders is higher in patients with brain injury combined with intracranial hematoma,among which the hematoma affects the frontal and temporal lobes.The larger volume of the hematoma may increase the risk of mental disorders,and attention should be paid to prevention and treatment.