标题：轻型颅脑损伤患者的心理健康状态分析

      作者：彭 涛，邹兴军，张袁汇翼，陈 锐，唐远芝
    (彭州市人民医院神经外科，四川 彭州 611930)

      卷次： 2015年26卷22期

      【摘要】 目的 了解轻型颅脑损伤患者的心理健康状态。方法 采用前瞻对比性研究，选取110例轻型颅
脑损伤患者作为调查对象(病例组)，采用症状自评量表(SCL-90)评定其心理健康状态，以本地 100例正常人
SCL-90评分结果作为对照组，对两组的调查结果进行统计学分析。结果 病例组患者的SCL-90评分总分，以
及躯体化、强迫、忧郁、焦虑因子分项目中的分数均高于对照组，两者比较差异均有统计学意义(P<0.05)；病例组
中发生明显焦虑55例(50.0%)，明显抑郁症状63例(57.3%)，而对照组中则分别为5例（5.0%）和3例(3.0%)，两者比
较差异具有显著统计学意义(P<0.01)，而其余因子项目比较差异则均无统计学意义(P>0.05)。结论 轻型颅脑损
伤患者存在较多的心理问题,以忧郁及焦虑表现为主，应及时进行心理干预。

      【关键词】 轻型颅脑损伤；症状自评量表(SCL-90)；心理健康

      【中图分类号】 R651.1+5 【文献标识码】 A 【文章编号】 1003—6350（2015）22—3363—02


Psychological status of patients with mild traumatic brain injury.
PENG Tao, ZOU Xing-jun, ZHANG
Yuan-hui-yi, CHEN Rui, TANG Yuan-zhi. Department of Neurosurgery, People’s Hospital of Pengzhou City, Pengzhou
618000, Chengdu, CHINA

【Abstract】 Objective To analyze the mental health status of patients with mild traumatic brain injury (MT-
BI). Methods Using prospective comparative study, 110 patients with MTBI were selected as the subjects (the study
group). One hundred healthy people were used as the control group. Symptom checklist 90 (SCL-90) was used to as-
sess the mental health status. The results of the two groups were statistically analyzed. Results In the study group,
the SCL-90 total score and the sub item scores of somatization, compulsion, depression and anxiety factor were signif-
icantly higher than those in the control group (P<0.05). There were 55 cases (50.0%) of obvious anxiety and 63 cases
(57.3%) of obvious depressive symptoms in the study group, 5 cases (5.0%) of obvious anxiety and 3 cases (3.0%) of
obvious depressive symptoms in the control group, with statistically significant difference between the two groups (P<
0.01). No significant difference was found in other items. Conclusion The patients of MTBI have more psychologi-
cal problems, mainly depression and anxiety. Psychological intervention should be carried out in time.