玉樹地震傷員急性應激期睡眠問題分析_《華西醫學》

作者：

朱仕超 ¹ ,  李小麟 ² , 黃雪花 ² , 陶慶蘭 ² , 吳學華 ¹ , 蒙雅靜 ² , 劉晴曉 ² , 許家軍 ² , 李娜 ²

四川大學(成都，610041) 1 華西臨床醫學院，2 華西醫院心理衛生中心;

關鍵詞：

地震睡眠障礙創傷后應激障礙治療

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【摘要】　目的　了解和分析玉樹地震傷員急性應激期睡眠問題。　方法　 2010年4月，對90例玉樹地震傷員的急性應激反應采用創傷后應激障礙癥狀清單平民版(PCL-C)17項量表進行篩查評估，并應用SPSS 17.0軟件進行統計學分析。　結果　在PCL-C 17個條目中，提示睡眠障礙的條目2和條目13發生率分別為61.10%、63.30%，分別排列第5位、第3位，其得分分別與PCL-C總得分、閃回癥狀得分、回避癥狀得分及高警覺性癥狀得分均呈正相關(P值均 lt;0.01)。　結論　睡眠障礙是地震傷員急性應激反應中的常見問題，需高度重視，并進行積極有效的處理。
【Abstract】　Objective　 To learn and analyze the sleep disorders in acute stress of the wounded persons in Yushu earthquake.　Methods　 The acute stress reaction of 90 wounded persons in Yushu earthquake were screened with post-traumatic stress disorder (PTSD) Checklist-Civilian (PCL-C) version-17 in April 2010. Sleep disorders were statistically analyzed with SPSS 17.0.　Results　 In the 17 items of PCL-C, the incidences of the second and the thirteenth item which were related to sleep disorders were respectively 61.10% ranking at the fifth and 63.30% ranking at the third. Both scores of these two items had significant positive correlation with the total score of PCL-C and the scores of the flashback symptom, the avoidance symptom and the heightened alertness symptom (P lt;0.01).　Conclusion　 Sleep disorder is a common problem in acute stress reaction of wounded persons in earthquakes, which needs high attention to be treated positively.

引用本文： 朱仕超,李小麟,黃雪花,陶慶蘭,吳學華,蒙雅靜,劉晴曉,許家軍,李娜. 玉樹地震傷員急性應激期睡眠問題分析. 華西醫學, 2011, 26(2): 195-197. doi: 復制

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1. 　溫盛霖, 陶炯, 王相蘭, 等. 四川汶川地震安置點災民急性和創傷后應激癥狀及相關因素分析[J]. 中國自然醫學雜志, 2009, 11(5): 328-331.
2. 　張本, 許瑞芬, 于振劍, 等. 汶川大地震急性應激障礙檢出率及相關因素的調查研究[J]. 中國健康心理學雜志, 2009, 17(10): 1158-1160.
3. 　曾嶸, 胡風云, 姚世昌. 汶川地震傷員在綜合醫院救治時心理狀況的調查分析[J]. 山西職工醫學院學報, 2010, 20(1): 8-11.
4. 　吳坎坎, 張雨青, 張寧, 等. 震后極重災區幸存者創傷后應激障礙癥狀的結構探析[J]. 中國臨床心理學雜志, 2010, 18(1): 60-62.
5. 　American Psychiatric Association. Diagnostic and statistic manual of mental disorders[M]. 4th ed. Washington DC: American Psychiatric Press, 2000.
6. 　Schreuder BJ, van Egmond M, Kleijn WC, et al. Daily reports of posttraumatic nightmares and anxiety dreams in Dutch war victims[J]. J Anxiety Disord, 1998, 12(6): 511-524.
7. 　Zayfert C, de Viva JC. Residual insomnia following cognitive behavioral therapy for PTSD[J]. J Trauma Stress, 2004, 17(1): 69-73.
8. 　Spoormaker Ⅵ, Montgomery P. Disturbed sleep in post-traumatic stress disorder: Secondary symptom or core feature?[J]. Sleep Med Rev, 2008, 12(3): 169-184.
9. 　National Institutes of Health. Consensus development conference statement: the treatment of sleep disorders of older people[J]. Sleep, 1991, 14(2): 169-177.
10. 　Morin CM, Hauri PJ, Espie CA, et al. Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review[J]. Sleep, 1999, 22(8): 1134-1156.
11. 　Raskind MA, Peskind ER, Kanter ED, et al. Reduction of nightmares and other PTSD symptoms in combat veterans by prazosin: a placebo-controlled study[J]. Am J Psychiatry, 2003, 160(2): 371-373.
12. 　Hauri PJ. Case studies in insomnia[M]. New York: Plenum Press, 1991: 19-84.
13. 　Spielman AJ, Saskin P, Thorpy MJ. Treatment of chronic insomnia by restriction of time in bed[J]. Sleep, 1987, 10(1): 45-56.

《華西醫學》

玉樹地震傷員急性應激期睡眠問題分析

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《華西醫學》

玉樹地震傷員急性應激期睡眠問題分析

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