| 摘要 |
【摘要】目的 探讨颅内动脉瘤(Intracranial aneurysms, ICA)介入栓塞术后患者创伤后应激障碍状况及影响因素分析。方法 将我院2017年1月至2023年6月期间收治的80例ICA介入栓塞术后患者患者作为研究对象，根据创伤后应激障碍自评量表（Post-traumatic stress disorderself-rating scale, PTSD-SS）评分将ICA介入栓塞术后患者分为非PTSD组（58例）和PTSD组（22例），分析ICA介入栓塞术后患者PTSD状况；采用单因素及多因素Logistic回归分析ICA介入栓塞术后患者PTSD的影响因素。结果 ICA介入栓塞术后患者PTSD-SS量表总分为（51.42±10.10）分，创伤应激障碍处于中等偏上水平。非PTSD组与PTSD组在居住地、文化程度、栓塞方式、瘤体最长径方面比较无显著差异(P>0.05)，在抑郁量表(Self-rating depression scale，SDS)评分、焦虑量表（Self-Rating Anxiety Scale，SAS）评分、心理弹性量表（Connor-davidson resilience scale，CD-RISC）评分、匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index， PSQI）评分方面比较存在显著差异(P<0.05)。多因素Logistic分析显示抑郁、焦虑、心理弹性差、睡眠质量差是ICA介入栓塞术后患者发生PTSD的独立影响因素(P<0.05)。结论 ICA介入栓塞术后患者普遍存在PTSD，且处于中等偏上水平；其中抑郁、焦虑、心理弹性差、睡眠质量差是引起ICA介入栓塞术后患者发生PTSD的相关影响因素。
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| Abstract |
[Abstract] Objective To explore the status and influencing factors of post-traumatic stress disorder in patients with intracranial aneurysms (ICA) after interventional embolization. Method 80 patients who underwent ICA interventional embolization in our hospital from January 2017 to June 2023 were selected as the study subjects. According to the Post traumatic stress disorder self rating scale (PTSD-SS) score, patients who underwent ICA interventional embolization were divided into a non PTSD group (58 cases) and a PTSD group (22 cases), and the PTSD status of patients after ICA interventional embolization was analyzed; Using univariate and multivariate logistic regression analysis to investigate the influencing factors of PTSD in patients after ICA interventional embolization. Results The total score of the PTSD-SS scale for patients after ICA intervention embolization was (51.42 ± 10.10), and the level of traumatic stress disorder was above average. There was no significant difference (P>0.05) between the non PTSD group and the PTSD group in terms of residence, education level, embolization method, and the longest diameter of the tumor neck. However, there were significant differences in terms of depression scale (SDS), anxiety scale (SAS), resilience scale (CD-RISC) scores, and the Pittsburgh Sleep Quality Index (PSQI) score (P<0.05). Multivariate logistic analysis showed that depression, anxiety, poor psychological resilience, and poor sleep quality were independent influencing factors for the occurrence of PTSD in patients after ICA intervention embolization (P<0.05). Conclusion PTSD is commonly present in patients after ICA interventional embolization, and it is at a moderate to upper level; Depression, anxiety, poor psychological resilience, and poor sleep quality are related influencing factors that cause PTSD in patients after ICA intervention embolization.
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