【摘要】 目的 了解和分析玉樹地震傷員急性應激期睡眠問題。 方法 2010年4月，對90例玉樹地震傷員的急性應激反應采用創傷后應激障礙癥狀清單平民版(PCL-C)17項量表進行篩查評估，并應用SPSS 17.0軟件進行統計學分析。 結果 在PCL-C 17個條目中，提示睡眠障礙的條目2和條目13發生率分別為61.10%、63.30%，分別排列第5位、第3位，其得分分別與PCL-C總得分、閃回癥狀得分、回避癥狀得分及高警覺性癥狀得分均呈正相關(P值均lt;0.01)。 結論 睡眠障礙是地震傷員急性應激反應中的常見問題，需高度重視，并進行積極有效的處理。【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 (Plt;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.
