【摘要】 目的:调查汶川地震灾后转移伤员的创伤后应激障碍的发生及其影响因素。方法:采用PTSD症状自评(PTSD Checklist-Civilian Version,PCL-C)和DSM-IV-TR轴I障碍用临床定式检查(Structured Clin-ical Interviewfor DSM-IV-TR Axis Ⅰ Disorders-Patient,SCID-I/P)进行诊断,在地震灾后40天对按照多级整群抽样方法抽取转移到重庆市11所医院的386名伤员进行调查,回收有效问卷354份,分析影响创伤后应激障碍(Post Trau matic Stress Disorder,PTSD)发生的相关因素。结果:354名转移伤员中共检出PTSD患者82例,检出率为23.2%,其中男性27例(17.5%),女性55例(27.5%)。女性的检出率明显高于男性,差异有统计学意义。多因素logistic回归分析显示其主要影响因素是女性(OR=2.364,95%CI:1.159～4.823),地震中被掩埋(OR=2.171,95%CI:1.088～4.333),目睹有人在地震中受伤(OR=0.338,95%CI:0.150～0.761)。结论:经历地震灾后被转移到重庆的伤员中有近1/4的灾民存在PTSD症状。其中女性、被掩埋等暴露因素是PTSD发生的危险因素。更多还原

【Abstract】 Objective:To investigate the occurrence of post traumatic stress disorder and its related factors in the transfer of wounded persons ofter Wenchuan earthquake.Methods:With the post traumatic stress disorder symptoms self-assessment scale(PTSD Chaklist-Civilian Version PCL-C) and Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient(SCID-I/P) as diagnostic tools,386 wounded persons from 11 hospitals who were transferred to Chongqing were extracted 40 days after disaster by multi-stage cluster sampling method.Altogether 354 valid questionnaires were returned to analyze the related factors of post traumatic stress disorder(PTSD).Results: Among 354(154 males,200 females) transferred patients,82 patients(23.2%) were identified as PTSD,including 27 males(17.5 %) and 55 females(27.5%).The rate of females was statistically higher than that of males.Logistic regression analysis showed that gender(OR=2.364,95%CI=1.159~4.823),being buried in the quake(OR=2.171,95%CI=1.088~4.333),and seeing people be injured in the quake(OR=0.338,95%CI=0.150~0.761) were the main related factors.Conclusion:PTSD symptoms are detected among a quarter of the victims who have been transferred to Chongqing after the earthquake.Several factors such as female,being buried are the possible risk factors of PTSD.更多还原