Capehart Bruce, Bass Dale
Durham VA Medical Center OEF/OIF Program and Mental Health Service Line (116A), 508 Fulton St, Durham, NC 27705, USA.
J Rehabil Res Dev. 2012;49(5):789-812. doi: 10.1682/jrrd.2011.10.0185.
Military deployments to Afghanistan and Iraq have been associated with elevated prevalence of both posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) among combat veterans. The diagnosis and management of PTSD when a comorbid TBI may also exist presents a challenge to interdisciplinary care teams at Department of Veterans Affairs (VA) and civilian medical facilities, particularly when the patient reports a history of blast exposure. Treatment recommendations from VA and Department of Defense's (DOD) recently updated VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress are considered from the perspective of simultaneously managing comorbid TBI.
在阿富汗和伊拉克的军事部署与退伍军人中创伤后应激障碍（PTSD）和创伤性脑损伤（TBI）的患病率升高有关。当同时存在创伤性脑损伤时，创伤后应激障碍的诊断和管理给退伍军人事务部（VA）和民用医疗设施的跨学科护理团队带来了挑战，特别是当患者报告有爆炸暴露史时。从同时管理合并创伤性脑损伤的角度考虑了退伍军人事务部和国防部（DOD）最近更新的《创伤后应激管理VA/DOD临床实践指南》中的治疗建议。
