论文部分内容阅读
目的探索创伤性脑损伤后器质性精神病症状的相关因素。方法选取391名因创伤性脑损伤致器质性精神病症状的被鉴定人,统计研究对象的一般情况及损伤相关信息。参照《中国精神疾病诊断标准-3》(CCMD-3)对相关数据进行统计分析。结果有52名(13.3%)被诊断为器质性精神病症状。χ2检验表明,器质性精神病症状与婚姻状态、致伤方式、治疗方式及损伤程度相关;因素回归分析显示,治疗方式及损伤程度两个因素进入回归方程(OR=0.044,95%CI:0.017~0.114;OR=2.145,95%CI:1.201~3.832)。结论开颅手术和中度颅脑损伤是创伤性脑损伤后器质性精神病症状的主要危险因素。
Objective To explore the related factors of organic psychosis after traumatic brain injury. Methods A total of 391 apprehended individuals with structural psychotic symptoms due to traumatic brain injury were selected and their general status and injury related information were statistically analyzed. Refer to “China Mental Illness Diagnostic Standard-3” (CCMD-3) for statistical analysis of relevant data. Results Fifty-two (13.3%) were diagnosed with organic psychotic symptoms. The χ2 test showed that the organic psychosis symptoms were related to the marital status, the way of injury, the way of treatment and the degree of injury. The regression analysis showed that both the treatment methods and the degree of injury entered the regression equation (OR = 0.044, 95% CI: 0.017 ~ 0.114; OR = 2.145, 95% CI: 1.201 ~ 3.832). Conclusion Craniotomy and moderate craniocerebral injury are the main risk factors of organic psychiatric symptoms after traumatic brain injury.