车祸伤者应激状况及干预=进展.pdfVIP

中国护理管理 综 述 Review 车祸伤者应激状况及干预研究进展 ◆ 赵蓓蓓 周郁秋 王玉玲 赵庆杰      [ 摘 要] 道路交通事故是中国男性和城市居民意外死亡的第一位原因，也是发达国家 损害脑细胞，出现记忆、学习等认知及 的第一位公共卫生问题。车祸事件作为一种严重的突发应激事件，会引起伤者强烈的生理和 行为障碍。有研究 [4] 已证实，车祸导致 心理反应，导致一系列的生理、心理和行为变化。本文对近年来国内外学者关于车祸伤者应 的强烈躯体刺激（活动受限、疼痛、炎 激的研究，就车祸引起的伤者身心变化、影响因素和干预现状进行综述，并对这一领域未来 症等），可使机体的免疫系统被广泛激活， 的研究进行展望。 [ 关键词 ] 车祸；应激；影响因素；干预 从而引起血清中IL-1β、IL-2、IL-8 [中图分类号] R47 较非车祸致伤者显著增高。同时，车祸 致伤者应激激素皮质醇的水平也远超非 Stress status and intervention on car accidents / ZHAO Bei-bei, ZHOU Yu-qiu, WANG Yu-ling, et al. // Nursing School , Daqing Campus of Harbin Medical University, 车祸致伤者，提示相同创伤程度下，车 Heilongjiang province,163319 China /// Chinese Nursing Management- 2012,12 (7): 85-87 祸可导致更强烈的应激。研究表明，氧 [Abstract] Road traffic accidents are not only the first reason of male Chinese and city 自由基是一类高毒性化合物，能作用于 residents accidental death, and also the first public health problem of developed countries. As a serious emergency events, car accidents can cause the injured strong physiological 中枢神经组织中的氨基酸及糖蛋白，导 and psychological stress response, lead to a series of physiological, psychological and 致蛋白质变性，细胞失去稳定甚至细胞 behavioral changes. We reviewed the papers on injured peoples stress in car accidents both [5] 死亡 。有学者以车祸为应激源进行研 domestic and abroad, including their physical and mental changes, influencing factors and interventions, and also gave a prospect to the future research in this field. 究，探讨了应激对车祸伤者血清 NO水 [ ] Key words car accidents; stress; influence factors; inte