Abstract: 【Abstract】〓Objective〓To investigate the occurrence and its influencing factors of mental disorder caused by craniocerebral trauma in order to provide reference basis for prevention and cure. Methods〓One hundred and seventeen craniocerebral trauma patients who were treated in the neurosurgery department of our hospital from August 2011 to August 2013 were selected as the research objects. Their clinical data were investigated by self-made questionnaire made by the author after consulting a large number of references to find out the occurrence and influencing factors of mental disorder caused by craniocerebral trauma by SPSS19.0 statistical package. Results〓The occurrence of mental disorder caused by craniocerebral trauma was 38.46%(45/117), the most common type was mania. Multivariable logistic regression analysis showed that the frontal lobe damage (β=4.14. P<0.001), intracranial infection (β=5.81, P<0.001), hypoxemia (β=6.40, P<0.001) and ventricular compression (β=7.17, P<0.001) were influencing factors for mental disorders caused by craniocerebral trauma. Conclusion〓The occurr-ence of mental disorder caused by craniocerebral trauma is high..In clinical medical process, strengthening patrol and supervision,.discover the patients' mental symptoms for high-risk groups,.corresponding treatment and nursing intervention should be given according to the type of mental disorder patients,.it would contribute to recovery of disease and improves the prognosis of patients.

Key words: Craniocerebral injury, Mental disorders, Influencing factors, Cross-sectional survey

摘要： 【摘要】〓目的〓探讨并分析颅脑外伤所致精神障碍发生情况及其影响因素,旨在为颅脑外伤所致精神障碍防治提供参考依据。方法〓选取我院神经外科2011年8月至2013年8月收治的117例颅脑外伤患者为研究对象,笔者查阅大量参考文献,采用自编问卷收集颅脑外伤术中的临床资料,运用SPSS 19.0统计软件包进行统计和分析找出颅脑外伤所致精神障碍原因和影响因素。结果〓颅脑外伤所致精神障碍发生率为38.46%(45/117),以躁狂型最多见。多因素Logistic回归分析示额叶损伤(β=4.14,P<0.001)、颅内感染(β=5.81,P<0.001)、低氧血症(β=6.40,P<0.001)和脑室受压(β=7.17,P<0.001)是颅脑外伤所致精神障碍的危险因素。结论〓颅脑外伤所致精神障碍发生率较高,在对颅脑损伤患者进行临床医治过程中,针对高危人群,加强巡视和监督,及时发现患者精神症状,根据患者的精神障碍类型给予针对性的治疗和护理干预,有利于疾病的恢复,改善患者的预后。

关键词: 颅脑外伤, 精神障碍, 影响因素, 横断面调查