国际精神病学杂志2024,Vol.51Issue(5) :1490-1492.

脑损伤血肿特征与精神障碍的关系

Relationship between the characteristics of brain injury hematoma and mental disorders

花胜松 魏曙岚 王斌
国际精神病学杂志2024,Vol.51Issue(5) :1490-1492.

脑损伤血肿特征与精神障碍的关系

Relationship between the characteristics of brain injury hematoma and mental disorders

花胜松 1魏曙岚 1王斌2
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作者信息

  • 1. 合肥市第八人民医院神经外科(合肥,238001)
  • 2. 安徽医科大学第一附属医院
  • 折叠

摘要

目的 探讨脑损伤患者颅内血肿特征与精神障碍的关系.方法 纳入2019年1月~2023年6月100例脑损伤合并颅内血肿患者的临床资料,观察住院期间精神障碍发生情况,收集患者颅脑影像资料,比较是否发生精神障碍患者血肿特征,多因素分析血肿特征与精神障碍的关系.结果 100例患者34例发生精神障碍;是否发生精神障碍患者血肿体积、累及脑叶、血肿发生时间、血肿分布差异均具有统计学意义(P<0.05),血肿侧别差异无统计学意义(P>0.05);将差异具有统计学意义的变量纳入多因素logistic回归分析,结果显示,血肿累及额叶、血肿累及颞叶、血肿体积>30mL、急性期血肿是脑损伤患者精神障碍的危险因素.结论 脑损伤合并颅内血肿患者精神障碍发生率较高,其中血肿累及额叶、血肿累及颞叶、血肿体积较大可能增加精神障碍发生风险,应注意防治.

Abstract

Objective To explore the relationship between intracranial hematoma characteristics and mental disorders in patients with brain injury.Methods The clinical data of 100 patients with brain injury combined with intracranial hematoma from January 2019 to June 2023 were included.The occurrence of mental disorders during hos-pitalization were observed.The patient cranial imaging data were collected.The characteristics of hematoma in patients with mental disorders were compared.Multivariate analysis of the relationship between hematoma characteristics and mental disorders.Results 34 out of 100 patients developed mental disorders;There were statistically significant dif-ferences in hematoma volume,involvement of cerebral lobes,occurrence time,and distribution among patients with mental disorders(P<0.05).There was no statistically significant difference in the side profile of hematoma(P>0.05).The variables with statistical significance were included in the multivariate logistic regression analysis,and the results showed that hematoma involving the frontal lobe,hematoma involving the temporal lobes,hematoma volume>30mL,and acute phase hematoma were risk factors for mental disorders in patients with brain injury.Conclusion The inci-dence of mental disorders is higher in patients with brain injury combined with intracranial hematoma,among which the hematoma affects the frontal and temporal lobes.The larger volume of the hematoma may increase the risk of mental dis-orders,and attention should be paid to prevention and treatment.

关键词

脑损伤/颅内血肿/血肿特征/精神障碍

Key words

Brain injury/Intracranial hematoma/Hematomic features/Mental disorders

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基金项目

吴阶平医学基金会临床科研专项资助基金课题(320.6750.2023-22-1)

出版年

2024
国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
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