Middleboe T, Andersen H S, Birket-Smith M, Friis M L
Department of Neurology, Bispebjerg Hospital, Copenhagen, Denmark.
Acta Neurol Scand. 1992 Jan;85(1):5-9.
A prospective follow-up study of 51 patients hospitalized due to minor head injury (MHI) was performed. After one year 28 patients answered the General Health Questionnaire, the Impact of Event Scale and a symptom checklist. A significant impact on general wellbeing attributed to head injury, was indicated. Half of the patients reported some sequelae from head injury, only 25% to a degree that resulted in a case score on General Health Questionnaire. Incidence of prominent post-traumatic stress symptoms was around 20%. Outcome seemed without correlation to trauma severity. Patients with sequelae after one year reported more symptoms at one week after trauma, and the results point to the magnitude of the health problems due to sequelae throughout follow-up. Aspects of prevention and treatment are discussed.
对51例因轻度头部损伤(MHI)住院的患者进行了一项前瞻性随访研究。一年后,28例患者回答了一般健康问卷、事件影响量表和症状清单。结果表明,头部损伤对总体幸福感有显著影响。一半的患者报告有头部损伤的一些后遗症,只有25%的患者后遗症程度导致一般健康问卷的病例评分。创伤后应激症状明显的发生率约为20%。结果似乎与创伤严重程度无关。一年后有后遗症的患者在创伤后一周报告的症状更多,结果表明在整个随访过程中后遗症导致的健康问题的严重程度。文中讨论了预防和治疗方面的问题。