文章摘要
李红玲,马惠丽,张浩峰,王尚臣,赵巧艳.颅脑损伤患者抑郁的发生与影响因素[J].中华物理医学与康复杂志,2003,(5):.-
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颅脑损伤患者抑郁的发生与影响因素
  
DOI:
中文关键词: 颅脑损伤  抑郁  发生率  影响因素
英文关键词: TBI  Depression  Incidence  Influence factors
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作者单位
李红玲,马惠丽,张浩峰,王尚臣,赵巧艳 050000石家庄河北医科大学第二医院康复医学科(李红玲、马惠丽、王尚臣、赵巧艳)神经外科(张浩峰) 
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中文摘要:
      目的探讨颅脑损伤患者抑郁的发生与有关因素。 方法对连续收住我院神经外科的100例颅脑损伤患者(除外昏迷、失语和不合作者)进行评测,内容包括:患者一般情况;既往性格;病变的部位与侧别;经济赔偿与否;意识状态;认知功能;运动功能;日常生活活动;抑郁的多模式方法诊断。 结果颅脑损伤患者抑郁发生率为42%,其中有自杀倾向者30.95%(13/42)。抑郁的发生与受伤当时的意识状态、认知功能、有无经济赔偿有关,与患者的性别、年龄、职业、文化程度、病程、病变的部位、左右侧别、既往人格特征、上下肢运动功能及日常生活活动无关。 结论抑郁较常见于脑损伤患者,其与脑损伤的严重程度和患者认知功能、经济支持相关。
英文摘要:
      Objective To study the incidence and influence factors of depression of patients with traumatic brain injury (TBI). MethodsOne hundred consecutive patients hospitalized in the department of neurosurgery were evaluated, with regard to their general conditions, location and laterality of brain lesion, economic compensation, performance in daily activities and mood, etc. excluding those with coma, aphasia and who could not cooperate. ResultsThe incidence rate of depression in patients with BTI was 42%. Of them, 30.95% were at clinical risk to commit suicide. Depression were related to state of consciousness, cognition and economic compensation, not related to those factors such as the sex, age, occupation, education level, course of disease, and personal character before injury, left or right side of lesion, locus of lesion, motor function and activities of daily living. ConclusionDepression is common among the TBI patients and correlated with the severity of the injury, cognitive capacity of and the economic support available to the patients.
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