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目的探讨分析颅脑创伤后所致精神障碍相关危险因素。方法 80例颅脑创伤患者为研究对象,根据患者有无精神障碍分为精神障碍组与无精神障碍组,通过单因素和多因素分析确定颅脑创伤后所致精神障碍的相关危险因素。结果 80例患者中,发生精神障碍53例(精神障碍组),未发生精神障碍27例(无精神障碍组)。单因素分析显示,两组患者性别、年龄、文化程度比较差异均无统计学意义(P>0.05)。精神障碍组患者的家庭满意度低于无精神障碍组,额叶或颞叶损伤、脑损伤范围≥3 cm、颅脑损伤程度为重度与特重度、合并其他障碍的例数均多于无精神障碍组,差异均有统计学意义(P<0.05)。多因素分析显示,家庭满意度、额叶或颞叶损伤、脑损伤范围≥3 cm、颅脑损伤程度(重度与特重度)、合并其他障碍是颅脑创伤患者发生精神障碍的危险因素(P<0.05)。结论家庭满意度低、额叶或颞叶损伤、脑损伤范围≥3 cm、颅脑损伤程度严重及合并其他障碍是颅脑创伤后所致精神障碍的危险因素,在临床工作中,应当全面的评估患者创伤的范围与程度,注意精神障碍及其他障碍的早发现、早治疗,指导患者家属加强家庭关怀,降低精神障碍发生风险。
Objective To analyze and analyze the risk factors related to mental disorders caused by traumatic brain injury. Methods Eighty patients with craniocerebral trauma were divided into two groups: mental disorder group and non-mental disorder group. One-factor and multivariate analysis were used to determine the related risk factors of mental disorders caused by traumatic brain injury. Results Among the 80 patients, there were 53 mental disorders (mental disorders) and 27 mental disorders (without mental disorders). Univariate analysis showed that there was no significant difference in gender, age and educational level between the two groups (P> 0.05). Family satisfaction in patients with mental disorders was lower than that in patients without mental disorders, frontal or temporal lobes, brain damage ≥ 3 cm, severe and severe craniocerebral injury, and cases with other disorders were more than those without mental disorders The differences between the two groups were statistically significant (P <0.05). Multivariate analysis showed that family satisfaction, frontal or temporal lobe injury, brain injury range ≥3 cm, and severity of head injury (severe and severe), combined with other disorders were risk factors for mental disorders in patients with traumatic brain injury (P <0.05). Conclusion Family satisfaction is low, frontal or temporal lobe injury, brain injury range ≥ 3 cm, severe brain injury and other disorders combined with risk factors for mental disorders caused by traumatic brain injury, in clinical work, should be comprehensive To assess the extent and extent of trauma patients, pay attention to early detection and treatment of mental disorders and other disorders, to guide family members to strengthen family care and reduce the risk of mental disorders.