目的探讨影响颅脑损伤患者精神障碍的相关因素。方法选择在我院救治的创伤性颅脑损伤患者336例为调查对象,采用一般资料问卷、智商、记忆商测试以及SCID-1/P、PDQC、SCICP对患者精神障碍情况进行评估。分析影响患者精神障碍的相关因素。结果单因素分析结果显示,年龄、文化程度、职业满意度、家庭满意度、颅脑损伤性质、颅脑损伤程度、单纯额叶损伤、单纯颞叶损伤、额叶及颞叶损伤等是影响患者发生精神障碍的因素(P〈0.05或P〈0.01)。多因素回归分析结果显示患者年龄、颅脑损伤程度、单纯额叶损伤、单纯颞叶损伤、额叶及颞叶损伤是影响患者精神障碍的因素(P〈0.01)。结论年龄、颅脑损伤程度、单纯额叶损伤、单纯颞叶损伤、额叶及颞叶损伤是影响患者精神障碍的因素。
Objective To analyze related factors of mental disorder after craniocerebral injury. Methods Selected 336 cases with craniocerebral injury were surveyed by general information questionnaire, intelligence test, memory quotient test and SCID-1/P、PDQC、SCICP to assess mental disorder. Results Results of the single factor analysis showed age, culture level, occupation, family satisfaction, craniocerebral injury, the degree of craniocerebral injury, purely frontal lobe damage, pure temporal lobe damage, the frontal and temporal lobe damage were the influence factors of mental disorders(P < 0.05 or P < 0.01). Multiple factors analysis results showed age, the degree of craniocerebral injury, purely frontal lobe injury, pure temporal lobe damage, the frontal and temporal lobe damage were the influencing factors of patients with mental disorders(P < 0.01). Conclusion Age, the degree of craniocerebral injury, purely frontal lobe injury, pure temporal lobe damage, the frontal and tempo