Chengdu Second People's Hospital, Sichuan, China.
Chengdu Medical College, Sichuan, China.
J Burn Care Res. 2022 Sep 1;43(5):1215-1217. doi: 10.1093/jbcr/irac066.
Severe burn patients often have anxiety, depression, and stress-related disorders. The case we reported was very nervous and exhibited a long-term high-frequency startle response, which disrupted his sleep seriously and decreased treatment compliance. However, after psychological treatment, his startle response in the daytime and nervousness gradually improved, but the startle response at night remained unchanged. Furthermore, after his wife was given three sessions of psychological treatment to manage her fear of surgery, the startle response at night was significantly reduced. Herein, we summarize the inductive stimuli of the startle response and the critical points of psychological treatment in this case to provide the clinical experience for future research.
严重烧伤患者常伴有焦虑、抑郁和与应激相关的障碍。我们报告的这个病例非常紧张，表现出长期高频的惊跳反应，严重扰乱了他的睡眠，降低了治疗依从性。然而，经过心理治疗后，他白天的惊跳反应和紧张情绪逐渐改善，但夜间的惊跳反应仍然没有变化。此外，在对他的妻子进行了三次心理治疗以减轻她对手术的恐惧后，夜间的惊跳反应明显减少。在此，我们总结了本病例中惊跳反应的诱发刺激和心理治疗的关键点，为今后的研究提供临床经验。
