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摩洛哥患者轻度创伤性脑损伤后的长期预后

Long term outcome following mild traumatic brain injury in Moroccan patients.

作者信息

Fourtassi Maryam, Hajjioui Abderrazak, Ouahabi Abdessamad El, Benmassaoud Hind, Hajjaj-Hassouni Najia, Khamlichi Abdeslam El

机构信息

Physical Medicine and Rehabilitation Department, Mohammed V University, Rabat, Morocco.

出版信息

Clin Neurol Neurosurg. 2011 Nov;113(9):716-20. doi: 10.1016/j.clineuro.2011.07.010. Epub 2011 Aug 15.

Abstract

PRIMARY OBJECTIVES

To describe the symptoms of chronic post-concussion syndrome (PCS) and to investigate the relationship between the persistence of these symptoms and different aspects of social life (return to work, quality of life, sport and leisure activities and family relationships) in Moroccan patients with mild traumatic brain injury (MTBI), one year after the trauma.

METHODS

Forty-two adult patients who sustained MTBI were reviewed one year after trauma. We investigated the persistence of PCS by using the "Problem Checklist" questionnaire. We also assessed their quality of life using a visual analogue scale, and noted the changes in employment status, social activities and family relationships. Then, we examined whether there were significant relationships between these different data.

RESULTS

More than half of the patients (n=23, 54.8%) were found with persistent post-concussion symptoms at one year post-injury. Chronic PCS was significantly more common in married persons (p=0.008) and significantly related to both non return to work (p≤0.01), and QoL deterioration (p≤0.001).

CONCLUSION

In this study, a large proportion of persons who sustained a MTBI experienced persistent symptoms up to one year after trauma. MTBI might have significant and lasting impact on the quality of life, which is to be verified by further studies.

摘要

主要目标

描述慢性创伤后综合征(PCS)的症状,并调查摩洛哥轻度创伤性脑损伤(MTBI)患者在创伤一年后这些症状的持续存在与社会生活不同方面(重返工作、生活质量、体育和休闲活动以及家庭关系)之间的关系。

方法

对42例遭受MTBI的成年患者在创伤一年后进行复查。我们使用“问题清单”问卷调查PCS的持续存在情况。我们还使用视觉模拟量表评估他们的生活质量,并记录就业状况、社会活动和家庭关系的变化。然后,我们检查这些不同数据之间是否存在显著关系。

结果

超过一半的患者(n = 23,54.8%)在受伤一年后被发现有持续的创伤后症状。慢性PCS在已婚者中明显更常见(p = 0.008),并且与未重返工作(p≤0.01)和生活质量恶化(p≤0.001)均显著相关。

结论

在本研究中,很大一部分遭受MTBI的人在创伤后长达一年都有持续症状。MTBI可能对生活质量有重大且持久的影响,这有待进一步研究证实。

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