创伤性脊柱骨折合并抑郁状态的调查及综合干预

目的探讨创伤性脊柱骨折患者合并抑郁的发生率，并分析综合干预治疗对其的影响。方法对160名因创伤造成的脊柱骨折采用抑郁自评量表（SDS）、汉密尔顿抑郁量表（HAMD）等进行评分。并对入选研究组的患者予以综合干预，比较干预前后患者的汉密尔顿抑郁值。结果创伤性脊柱骨折患者合并抑郁状态的发生率（60／160）37．5％。综合干预组（研究组）的汉密尔顿抑郁量表评分明显改善（t=2．37，P〈0．05；t=2．87，P〈0．01）。结论脊柱骨折患者合并抑郁状态发生率高，有针对性的心理干预治疗可明显改善其抑郁心理。

Depression in Patients with Traumatic Spinal Fractures and Comprehensive Intervention

Objective To explore the incidence of depression in patients with traumatic spinal fractures, and analyze the effects of comprehensive intervention. Methods A total of 160 patients due to the trauma of spinal fractures were assessed with self-rating depres- sion scale（SDS） ,Hamilton depression scale（HAMD）. And the study group was carried out comprehensive intervention,then compared the HAMD scores between before and after intervention. Results The incidence of depression in patients with traumatic spinal fracture was 37.5% （60/160）. The HAMD scores were improved significantly（ t = 2. 37 ,P 〈 0. 05 ;t = 2. 87 ,P 〈 0.01 ） in comprehensive inter- vention group . Conclusion The prevalence of depression is high in patients with traumatic spinal fractures;Targeted psychological in- tervention therapy can obviously improve the depression.