Report and Analysis of 90 Wounded Persons’ Sleep Disorders in Acute Stress in Yushu Earthquake_West China Medical Journal

Authors：

ZHU Shichao ¹ ,  LI Xiaolin ² , HUANG Xuehua ² , TAO Qinglan ² , WU Xuehua ¹ , MENG Yajing ² , LIU Qingxiao ² , XU Jiajun ² , LI Na ²

1. West China Medical School; 2. Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Xiaolin, Email: 641zsc@163.com

Keywords：

地震; 睡眠障碍; 创伤后应激障碍; 治疗

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【摘要】　目的　了解和分析玉树地震伤员急性应激期睡眠问题。　方法　 2010年4月，对90例玉树地震伤员的急性应激反应采用创伤后应激障碍症状清单平民版(PCL-C)17项量表进行筛查评估，并应用SPSS 17.0软件进行统计学分析。　结果　在PCL-C 17个条目中，提示睡眠障碍的条目2和条目13发生率分别为61.10%、63.30%，分别排列第5位、第3位，其得分分别与PCL-C总得分、闪回症状得分、回避症状得分及高警觉性症状得分均呈正相关(P值均 lt;0.01)。　结论　睡眠障碍是地震伤员急性应激反应中的常见问题，需高度重视，并进行积极有效的处理。
【Abstract】　Objective　 To learn and analyze the sleep disorders in acute stress of the wounded persons in Yushu earthquake.　Methods　 The acute stress reaction of 90 wounded persons in Yushu earthquake were screened with post-traumatic stress disorder (PTSD) Checklist-Civilian (PCL-C) version-17 in April 2010. Sleep disorders were statistically analyzed with SPSS 17.0.　Results　 In the 17 items of PCL-C, the incidences of the second and the thirteenth item which were related to sleep disorders were respectively 61.10% ranking at the fifth and 63.30% ranking at the third. Both scores of these two items had significant positive correlation with the total score of PCL-C and the scores of the flashback symptom, the avoidance symptom and the heightened alertness symptom (P lt;0.01).　Conclusion　 Sleep disorder is a common problem in acute stress reaction of wounded persons in earthquakes, which needs high attention to be treated positively.

Citation： ZHU Shichao,LI Xiaolin,HUANG Xuehua,TAO Qinglan,WU Xuehua,MENG Yajing,LIU Qingxiao,XU Jiajun,LI Na. Report and Analysis of 90 Wounded Persons’ Sleep Disorders in Acute Stress in Yushu Earthquake. West China Medical Journal, 2011, 26(2): 195-197. doi: Copy

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1. 　温盛霖, 陶炯, 王相兰, 等. 四川汶川地震安置点灾民急性和创伤后应激症状及相关因素分析[J]. 中国自然医学杂志, 2009, 11(5): 328-331.
2. 　张本, 许瑞芬, 于振剑, 等. 汶川大地震急性应激障碍检出率及相关因素的调查研究[J]. 中国健康心理学杂志, 2009, 17(10): 1158-1160.
3. 　曾嵘, 胡风云, 姚世昌. 汶川地震伤员在综合医院救治时心理状况的调查分析[J]. 山西职工医学院学报, 2010, 20(1): 8-11.
4. 　吴坎坎, 张雨青, 张宁, 等. 震后极重灾区幸存者创伤后应激障碍症状的结构探析[J]. 中国临床心理学杂志, 2010, 18(1): 60-62.
5. 　American Psychiatric Association. Diagnostic and statistic manual of mental disorders[M]. 4th ed. Washington DC: American Psychiatric Press, 2000.
6. 　Schreuder BJ, van Egmond M, Kleijn WC, et al. Daily reports of posttraumatic nightmares and anxiety dreams in Dutch war victims[J]. J Anxiety Disord, 1998, 12(6): 511-524.
7. 　Zayfert C, de Viva JC. Residual insomnia following cognitive behavioral therapy for PTSD[J]. J Trauma Stress, 2004, 17(1): 69-73.
8. 　Spoormaker Ⅵ, Montgomery P. Disturbed sleep in post-traumatic stress disorder: Secondary symptom or core feature?[J]. Sleep Med Rev, 2008, 12(3): 169-184.
9. 　National Institutes of Health. Consensus development conference statement: the treatment of sleep disorders of older people[J]. Sleep, 1991, 14(2): 169-177.
10. 　Morin CM, Hauri PJ, Espie CA, et al. Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review[J]. Sleep, 1999, 22(8): 1134-1156.
11. 　Raskind MA, Peskind ER, Kanter ED, et al. Reduction of nightmares and other PTSD symptoms in combat veterans by prazosin: a placebo-controlled study[J]. Am J Psychiatry, 2003, 160(2): 371-373.
12. 　Hauri PJ. Case studies in insomnia[M]. New York: Plenum Press, 1991: 19-84.
13. 　Spielman AJ, Saskin P, Thorpy MJ. Treatment of chronic insomnia by restriction of time in bed[J]. Sleep, 1987, 10(1): 45-56.

West China Medical Journal

Report and Analysis of 90 Wounded Persons’ Sleep Disorders in Acute Stress in Yushu Earthquake

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