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目的 分析手外伤患者创伤后应激障碍(PTSD)的综合干预效果及其与手功能恢复的相关性.方法 选择温州市中医院2016年4月至2018年4月收治的手外伤患者120例为研究对象,按随机数字表法分为观察组60例、对照组60例,观察组患者给予常规治疗+综合干预,对照组患者给予常规治疗.采用临床医师使用的PDST量表(CAPS)、抑郁自评量表(SDS)及汉密尔顿焦虑量表(HAMA)评估两组患者PTSD心理状态、抑郁及焦虑状态,并对患者的上肢功能进行评估.结果 干预治疗后,CAPS、SDS、HAMA评分对照组分别为(24.51±8.43)分、(50.61±7.59)分、(10.63±2.11)分,观察组分别为(16.53±7.62)分、(40.26±4.18)分、(8.24±1.86)分,两组CAPS、SDS、HAMA评分均较干预治疗前显著改善(t=4.11、5.04、3.98,5.18、3.86、4.72,均P<0.05),观察组均显著优于对照组(t=5.61、5.59、4.73,均P<0.05);干预治疗后,观察组、对照组上肢功能量表(DASH)评分分别为(89.27±6.08)分、(82.11±7.92)分,两组DASH评分均较干预治疗前显著提高(t=6.14、5.28,均P<0.05),观察组优于对照组(t=3.96,P<0.05).手外伤患者DASH评分与CAPS评分、SDS评分呈负相关(r=-0.362、-0.425,P=0.012、0.008).结论 对手外伤患者创伤后应激障碍给予综合干预能显著改善患者的抑郁、焦虑程度,改善患者的上肢功能.“,”Objective To analyze the comprehensive intervention effect of post -traumatic stress disorder (PTSD) in patients with acute hand injury,and its correlation with hand function recovery.Methods A total of 120 patients with hand trauma admitted to Wenzhou Hospital of Traditional Chinese Medicine from April 2016 to April 2018 were selected.The patients were randomly divided into observation group (60 cases) and control group (60 cases) according to the digital table .The observation group received routine treatment and comprehensive intervention .The control group was given routine treatment .The PDST scale ( CAPS) ,depression self-rating scale ( SDS) and Hamilton anxiety scale (HAMA) rating scale used by clinicians were used to assess the psychological status ,depression and anxiety of patients with PTSD,and to evaluate the upper limb function of patients.Results After intervention,the scores of CAPS,SDS and HAMA in the control group were (24.51 ±8.43)points,(50.61 ±7.59)points and (10.63 ± 2.11)points,respectively,which were significantly higher than those in the observation group [(16.53 ±7.62)points, (40.26 ±4.18)points,(8.24 ±1.86)points](t=5.61,5.59,4.73,all P<0.05).The CAPS,SDS and HAMA scores of the two groups were significantly improved compared with before intervention ( t=4.11,5.04,3.98,5.18, 3.86,4.72,all P<0.05).After intervention,the upper limb function scale (DASH) scores of the observation group and the control group were (89.27 ±6.08)points and (82.11 ±7.92)points,respectively.The DASH scores of the two groups were significantly higher than those before intervention (t=6.14,5.28,all P<0.05).The DASH score of the observation group was superior to the control group (t=3.96,P<0.05).The DASH score of patients with hand injury was negatively correlated with CAPS score and SDS score (r =-0.362,-0.425,P =0.012,0.008). Conclusion Comprehensive intervention for PTSD in patients with acute hand injury can significantly improve the degree of depression and anxiety ,and improve the upper limb function of patients .