【摘要】 目的早期(灾后67h内)筛查玉树地震伤员的急性应激反应,以及时指导有效的心理干预工作。方法选取四川大学华西医院收治的符合纳入、排除标准的90名玉树地震伤员,采用创伤后应激障碍症状清单平民版(PTSD Checklist-Civilian Version,PCL-C),由藏族大学生志愿者翻译,在征得伤员同意后,完成资料收集。结果震后伤员PCL-C总分为18～74分,平均为(43.00±13.89)分;筛查PTSD阳性28例,占31.11%,阴性62人,占68.89%;最常见的是再体验症状,发生率为87.78%(79/90);其次是高警觉症状,发生率为67.77%(61/90);回避麻木症状发生率为33.33%(30/90);PCL-C总分的性别、年龄、民族差异均无统计学意义,丧亲情况差异有统计学意义(P<0.05)。结论玉树地震伤员早期急性应激反应的发生率较高,应及时采取有效的心理干预措施。更多还原

【Abstract】 Objective To examine acute stress reaction among the injured persons after Yushu earthquake for early and effective psychological intervention.Methods A face-to-face interview was carried out among 90 injured persons with the Post-Traumatic Stress Disorder Symptoms Civilian Version(PCL-C) within three days after Yushu earthquake in 2010.Results The total score of PCL-C ranged from 18 to 74 among the injuries with an average score of 43±13.89.A total of 28 injuries(31.11%) were positive for PTSD and 62(68.89%) were negative.The most common symptom was re-experience(87.78%),followed by high alert(67.77%),and avoiding numbness(33.33%).Conclusion There was a high incidence of acute stress reaction among the injuries of Yushu earthquake and it is important to take timely and effective psychological intervention.更多还原