急诊创伤患者创伤后应激障碍的研究进展
Research Progress on Post-Traumatic Stress Disorder in Emergency Trauma Patients
DOI: 10.12677/acm.2026.1693113, PDF,    科研立项经费支持
作者: 李 杨*：西安医学院研究生院，陕西 西安；中国人民解放军空军军医大学第一附属医院急诊科，陕西 西安；魏 燕：西安医学院研究生院，陕西 西安；中国人民解放军空军军医大学第一附属医院妇产科，陕西 西安；蔡 敏#：中国人民解放军空军军医大学第一附属医院心身科，陕西 西安；赵 威#：中国人民解放军空军军医大学第一附属医院急诊科，陕西 西安
关键词: 急诊医学；创伤；创伤后应激障碍；危险因素；Emergency Medicine； Trauma； PTSD； Risk Factors
摘要: 急诊创伤患者因躯体创伤与心理应激的双重作用，是创伤后应激障碍(PTSD)的高危人群。PTSD与此类患者躯体恢复不良以及远期生活质量的下降密切相关。因此，早期识别急诊创伤患者PTSD的危险因素并进行有效干预，对于降低PTSD发生风险及改善长期预后具有重要临床意义。本文对急诊创伤患者创伤后应激障碍的特点、影响因素、诊断和预防治疗做了总结和探讨，以期帮助读者掌握相关进展。在此基础上，进一步讨论急诊场景下PTSD超简短筛查、阶梯式干预及多学科协作路径的实施机遇与挑战。
Abstract: Emergency trauma patients are at high risk for post-traumatic stress disorder (PTSD) due to the combined effects of physical trauma and psychological stress. PTSD is closely associated with poor physical recovery and decreased long-term quality of life in these patients. Therefore, early identification of risk factors and effective intervention for PTSD in emergency trauma patients are of great clinical significance for reducing the risk of PTSD and improving long-term prognosis. This article summarizes and discusses the characteristics, influencing factors, diagnosis, prevention, and treatment of PTSD in emergency trauma patients, with the aim of helping readers understand the related research advances. It further discusses the opportunities and challenges of ultra-brief screening, stepped intervention, and multidisciplinary collaborative care for PTSD in emergency settings.
文章引用：李杨, 魏燕, 蔡敏, 赵威. 急诊创伤患者创伤后应激障碍的研究进展[J]. 临床医学进展, 2026, 16(9): 849-859. https://doi.org/10.12677/acm.2026.1693113

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