CAJ | 학술논문

目的分析住院颅脑损伤患者伤情特点,探讨结局相关危险因素,为医疗预防、干预和救治措施提供部分改进建议.方法应用“创伤数据库系统”采集2009年所收治的661例颅脑损伤患者住院病历,分析颅脑损伤患者的一般情况、伤情及结局,并通过Logistic回归探讨影响颅脑损伤患者结局的危险因素.结果颅脑损伤患者中男性占70.0％(463/661)；45岁左右为高发年龄段；下半年患者数为上半年的1.65倍(412/249)；交通伤是主要致伤原因(87.7％,580/661)；多发伤达512例(77.5％).ISS评分、致伤原因、患者年龄、损伤发生的季度与救治结局密切有关.结论颅脑损伤住院患者在性别、年龄、发生时间、致伤原因、多发伤等方面具有明显的特点,其最终治疗结局与损伤严重程度、致伤原因、年龄等因素密切相关.
목적 분석주원로뇌손상환자상정특점,탐토결국상관위험인소,위의료예방、간예화구치조시제공부분개진건의.방법 응용“창상수거고계통”채집2009년소수치적661례로뇌손상환자주원병력,분석로뇌손상환자적일반정황、상정급결국,병통과Logistic회귀탐토영향로뇌손상환자결국적위험인소.결과 로뇌손상환자중남성점70.0％(463/661)；45세좌우위고발년령단；하반년환자수위상반년적1.65배(412/249)；교통상시주요치상원인(87.7％,580/661)；다발상체512례(77.5％).ISS평분、치상원인、환자년령、손상발생적계도여구치결국밀절유관.결론 로뇌손상주원환자재성별、년령、발생시간、치상원인、다발상등방면구유명현적특점,기최종치료결국여손상엄중정도、치상원인、년령등인소밀절상관.
Objective To investigate the injury characteristics and prognostic risk factors of patients with craniocerebral injury so as to provide some suggestions for the improvement of medical prevention,intervention and treatment measures.Methods Trauma database system was applied to collect the medical records of 661 patients with traumatic brain injury admitted to the Department of Neurosurgery of 105th Hospital of Hefei in 2009.Their general conditions,injury characteristics and outcomes were analyzed and the risk factors affecting their outcomes were investigated by Logistic regression analysis.Results Of the patients with craniocerebral injury,the males accounted for 70％ (463/661).The patients at 45 years old or so had the highest incidence of craniocerebral injury.Patient number in the second half of one year was 1.65 times more than that in the first half of one year (412/249 ).Most patients were injured from traffic accidents (87.7％,580/661 ) and 512 patients (77.5％) suffered from multiple injuries.ISS,injury causes,age and injury incidence quarters showed close correlation with the final outcome.Conclusions The patients with craniocerebral injury demonstrates distinctive characteristics in aspects of gender,age,incidence time,injury causes,and multiple injuries,but the ultimate outcomes are related to the injury severity,injury causes,age and other factors.