Progress on diagnosis and treatment of stress disorder in explosive environment

doi:10.3877/cma.j.issn.2095-655X.2020.03.004

Abstract

Abstract:

With the changes of world military pattern and the imbalance of social economy, more and more explosive events have taken place, and the incidence of post blast stress disorder has attracted more and more attention in the social safety and medical care. Post blast stress disorder, including acute stress disorder, post-traumatic stress disorder and adaptive disorder, is a kind of psychological disorder directly caused by strong and lasting traumatic life events for a certain period of time. This paper reviews the recent progress in the etiology, pathogenesis, diagnosis, treatment and protection of post blast stress disorder, in order to provide an useful enlightenment for the better research on psychological intervention in the special environment.

Key words: Blast, Stress, psychological, Special environment, Diagnosis, Therapies

Jie Gao, Haiyan Wang, Sen Li, Zaiyun Long, Yuan Liu, Yongtang Wang, Jun Yan, Jing Yu, Yamin Wu, Ce Yang. Progress on diagnosis and treatment of stress disorder in explosive environment[J]. Chinese Journal of Diagnostics(Electronic Edition), 2020, 08(03): 160-167.

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References 34

[1]	王正国．外科学与野战外科学[M]．北京：人民军医出版社，2007：688-699.
[2]	王正国．创伤学基础与临床[M]．武汉：湖北科学技术出版社，2006：1278-1280.
[3]	McSwain NE.院前创伤生命支持[M]．赵铱民，黎檀实，译.7版．西安：第四军医大学出版社，2015：654-657.
[4]	高洁，王永堂，刘媛，等．爆炸冲击致失能性脑损伤的诊治原则与思考[J/CD]．中华诊断学电子杂志，2016，4(1): 13-18. URL
[5]	张连阳．灾难爆炸伤救援进展[J]．解放军医学杂志，2015，40(9): 689-692.
[6]	Elsayed NM, Atkins JL.Explosion and blast-related injuries[M]．Singarpore：Elsevier (Singarpore) Pte Ltd，2008：25-32.
[7]	Polusny MA, Erbes CR, Thuras P，et al.Mindfulness-based stress reduction for posttraumatic stress disorder among veterans a randomized clinical trial[J]．JAMA，2015，314(5): 456-465.
[8]	张理义，陈洪生．临床心理学[M].4版．北京：人民军医出版社，2015：208.
[9]	Griesbach GS, Tio DL, Nair S，et al.Recovery of stress response coincides with responsiveness to voluntary exercise after traumatic brain injury[J]．J Neurotrauma，2014，31(7): 674-682.
[10]	Gao J, Chen C, Liu Y，et al.Lycium barbarum polysaccharide improves traumatic cognition via reversing imbalance of apoptosis/regeneration in hippocampal neurons after stress[J]．Life Sci，2015(121): 124-134.
[11]	Gao J, Wang H, Liu Y, et al. Glutamate and GABA imbalance promote neuronal apoptosis in hippocmpus after stress [J]．Med Sci Monit，2014(20): 499-512.
[12]	高洁，康健毅，王丽丽，等．密闭舱室内爆炸致大鼠失能性脑损伤的神经电生理机制研究[J]．解放军医学杂志，2015，40(8): 666-670.
[13]	American Psychiatric Association. Diagnostic and statistic manual of mental disorder[M].5th，ed.Washington，D.C：American Psychiatric Publishing，2013.
[14]	Loignon A, Ouellet MC, Belleville G. A systematic review and meta-analysis on PTSD following TBI among military/veteran and civilian populations[J]．J Head Trauma Rehabil，2020，35 (1): E21-E35.
[15]	Mattson EK, Nelson NW, Sponheim SR，et al.The impact of PTSD and mTBI on the relationship between subjective and objective cognitive deficits in combat-exposed veterans[J]．Neuropsychology，2019，33 (7): 913-921.
[16]	Shively SB, Horkayne-Szakaly I, Jones RV，et al.Characterisation of interface astroglial scarring in the human brain after blast exposure：a post-mortem case series[J]．Lancet Neurol，2016，15(9): 944-953.
[17]	Bajaj JS, Sikaroodi M, Fagan A，et al.Posttraumatic stress disorder is associated with altered gut microbiota that modulates cognitive performance in veterans with cirrhosis[J]．Am J Physiol Gastrointest Liver Physiol，2019，317(5): G661-G669.
[18]	Lowe SR, Ratanatharathorn A, Lai BS，et al.Posttraumatic stress disorder symptom trajectories within the first year following emergency department admissions：pooled results from the International Consortium to predict PTSD[J]．Psychol Med，2020：1-11.
[19]	Naeser MA, Zafonte R, Krengel MH，et al.Significant improvements in cognitive performance post-transcranial，red/near-infrared light-emitting diode treatments in chronic，mild traumatic brain injury：open-protocol study[J]．J Neurotrauma，2014，31(11): 1008-1017.
[20]	Sawyer TW, Lee JJ, Villanueva M，et al.The effect of underwater blast on aggregating brain cell cultures[J]．J Neurotrauma，2017，34(2): 517-528.
[21]	Hoffman JR, Zuckerman A, Ram O，et al.Behavioral and inflammatory response in animals exposed to a low-pressure blast wave and supplemented with β-alanine[J]．Amino Acids，2017，49(5): 871-886.
[22]	Hellewell SC, Ziebell JM, Lifshitz J, et al. Impact acceleration model of diffuse traumatic brain injury[J]．Methods Mol Biol，2016(1462): 253-266.
[23]	Amitai Z, Omri R, Gal I, et al. The role of endogenous aegenous corticosterone obehavioral and cognitive responses to low-pressure blast wave expose[J]．J Neurotrauma，2019，36(2): 380-394.
[24]	Nelson NW, Disner SG, Anderson CR，et al.Blast concussion and posttraumatic stress as predictors of postcombat neuropsychological functioning in OEF/OIF/OND veterans[J]．Neuropsychology，2020，34(1): 116-126.
[25]	Valiyaveetti M, Alamneh YA, Wang Y，et al.Cytoskeletal protein α-Ⅱ spectrin degradation in the brain of repeated blast exposed mice[J]. Brain Res，2014 (1549): 32-41. URL
[26]	Denby E, Murphy D, Busutti W，et al.Neuropsychiatric outcomes in UK military veterans with mild traumatic brain injury and vestibular dysfunction[J]．J Head Trauma Rehabil，2020，35(1): 57-65.
[27]	Roy MJ, Costanzo M, Gill J, et al. Predictors of neurocognitive syndromes in combat veterans[J]．Cureus，2015，7(7): e293.
[28]	Perez-Garcia G, Gama Sosa M, De Gasperi R，et al.Exposure to a predator scent induces chronic behavioral changes in rats previously exposed to low-level blast：implications for the relationship of blast-related TBI to PTSD[J]．Front Neurol，2016(7): 176.
[29]	Reid MW, Miller KJ, Lange RT, et al. A multisite study of the relationships between blast exposures and symptom reporting in a post-deployment active duty military population with mild traumatic brain injury[J]．J Neurotrauma，2014，31(23): 1899-1906.
[30]	Christine L, Donald M, Barber J，et al.Association between 5-year clinical outcome in patients with nonmedically evacuated mild blast traumatic brain injury and clinical measures collected within 7 days postinjury in combat[J]．JAMA Netw Open，2019，2(1): e186676.
[31]	Quintard H, Lorivel T, Gandin C, et al. MLC901, a Traditional Chinese Medicine induces neuroprotective and neuroregenerative benefits after traumatic brain injury in rats[J]．Neuroscience，2014(277): 72-86. URL
[32]	汤竣杰，陈兴栋，毛敏，等．特殊环境下创伤后应激障碍的流行病学及干预策略[J/CD]．中华诊断学电子杂志，2020，8(2): 90-94.
[33]	王庆松，谭庆荣．创伤后应激障碍[M]．北京：人民卫生出版社，2015：4-6.
[34]	高洁，李森，王海燕，等．枸杞多糖对特殊环境致应激损伤防治的研究进展[J/CD]．中华诊断学电子杂志，2020，8(2): 86-89.

爆炸地点	爆炸物	人群	年龄	性别	基础健康	保护措施
战场	高爆武器	军人	青壮年	男性居多	健康	较好
事故现场	简易爆炸装置、瓦斯等	平民	皆有	不拘	无法判断	无

爆炸地点	爆炸物	人群	年龄	性别	基础健康	保护措施
战场	高爆武器	军人	青壮年	男性居多	健康	较好
事故现场	简易爆炸装置、瓦斯等	平民	皆有	不拘	无法判断	无

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