脑外伤后综合征患者综合干预效果评价

目的探讨脑外伤后综合征患者的综合干预效果。方法将110例脑外伤后综合征患者随机分为研究组56例，对照组54例，两组均进行常规的脑外伤治疗及躯体康复，研究组在此基础上联合综合干预，观察8w。于综合干预前及干预8w末，采用症状自评量表评定患者的躯体症状及心理健康状况，采用总体幸福感量表评定患者的幸福度。结果两组干预前症状自评量表躯体化、抑郁、焦虑、强迫症状、敌对及恐怖等因子分较高，干预8w末研究组各因子分较干预前均显著下降，而对照组较康复前均有显著提高；研究组除恐怖因子外，其他各因子分均显著低于对照组（P〈0．01）。干预8w末，总体幸福感量表评分两组均较干预前有显著提高，研究组较对照组提高更为显著（t=3．48，P〈0．01）。结论综合干预有助于改善患者的心理、生理、情感和社会功能，从而提高患者的生活质量和康复效果。

The influence of comprehensive intervention on patients with post-traumatic brain syndrome

Objective To investigate the influence of comprehensive intervention on the patients with post-traumatic brain syndrome. Methods 110 patients with post-traumatic brain syndrome were randomly divided into study group （56 cases） and control group （54cases） . The two groups were given regular brain injury treatment and physical rehabilitation, and the study group given comprehensive intervention at the same time. The Symptoms Checklist 90（SCL 90） and Global Well-being Scale（GWB） were used to evaluate psychological status and level of well-being respectively before intervention and at the end of 8 weeks after intervention. Results Before intervention, the seorces of SCL-90 was not difference between the 2 groups were improved. After intervention, the scores of all factors of SCI. 90 in study group decreased obviously, but those in control group increased, and all the factors＇ seorces except phobia of SCL-90 in study group were significant lower than those in control group（P〈0.01）. The scorces of GWB in both groups improved after intervention, and which in study group improved more than in control group（P〈0.01） . Conclusion The comprehensive intervention can improve the mental status and social function of the patients with post-traumatic brain syndrome in order to enhance their life quality and rehabilitation efficacy.