中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2011年
3期
276-279
,共4页
胡明军%徐如祥%姜晓丹%蔡颖谦%罗成义%宋国忠%王学文%王钢%崔健%杭军%温大平
鬍明軍%徐如祥%薑曉丹%蔡穎謙%囉成義%宋國忠%王學文%王鋼%崔健%杭軍%溫大平
호명군%서여상%강효단%채영겸%라성의%송국충%왕학문%왕강%최건%항군%온대평
颅脑损伤%交通事故伤%院前急救%预后
顱腦損傷%交通事故傷%院前急救%預後
로뇌손상%교통사고상%원전급구%예후
Brain injury%Traffic accident%Pre-hospital emergency treatment%Prognosis
目的 探讨院前急救在时间环节上对交通事故性重型颅脑损伤预后的重要性,为我国相关部门制定预防和控制措施提供参考依据.方法 根据珠江医院神经外科制定的<交通事故性重型颅脑损伤统计表>严格筛选出合格病例,对其相关资料进行统计学分析,主要分析急救接报时间与到达现场时间差的不同时间段以及现场抢救中不同时间段与患者预后的相关性.结果 急救接报到到达现场时间段以及现场抢救时间段与患者预后均存在负相关关系(rs=-0.10,P=0.002;rs=-0.06,P=0.034),即随着接报到到达现场时间的增加及随着现场抢救时间的增加,患者死亡率及致残率逐渐增高,预后越差.结论 通过建立和完善急性颅脑损伤预防和控制中心,科学制定院前急救、转运等各项救治制度,尽量缩短路途耽搁时间及现场抢救时间,提高急救反应速度,可提高救护质量,减少死亡率和致残率.
目的 探討院前急救在時間環節上對交通事故性重型顱腦損傷預後的重要性,為我國相關部門製定預防和控製措施提供參攷依據.方法 根據珠江醫院神經外科製定的<交通事故性重型顱腦損傷統計錶>嚴格篩選齣閤格病例,對其相關資料進行統計學分析,主要分析急救接報時間與到達現場時間差的不同時間段以及現場搶救中不同時間段與患者預後的相關性.結果 急救接報到到達現場時間段以及現場搶救時間段與患者預後均存在負相關關繫(rs=-0.10,P=0.002;rs=-0.06,P=0.034),即隨著接報到到達現場時間的增加及隨著現場搶救時間的增加,患者死亡率及緻殘率逐漸增高,預後越差.結論 通過建立和完善急性顱腦損傷預防和控製中心,科學製定院前急救、轉運等各項救治製度,儘量縮短路途耽擱時間及現場搶救時間,提高急救反應速度,可提高救護質量,減少死亡率和緻殘率.
목적 탐토원전급구재시간배절상대교통사고성중형로뇌손상예후적중요성,위아국상관부문제정예방화공제조시제공삼고의거.방법 근거주강의원신경외과제정적<교통사고성중형로뇌손상통계표>엄격사선출합격병례,대기상관자료진행통계학분석,주요분석급구접보시간여도체현장시간차적불동시간단이급현장창구중불동시간단여환자예후적상관성.결과 급구접보도도체현장시간단이급현장창구시간단여환자예후균존재부상관관계(rs=-0.10,P=0.002;rs=-0.06,P=0.034),즉수착접보도도체현장시간적증가급수착현장창구시간적증가,환자사망솔급치잔솔축점증고,예후월차.결론 통과건립화완선급성로뇌손상예방화공제중심,과학제정원전급구、전운등각항구치제도,진량축단로도탐각시간급현장창구시간,제고급구반응속도,가제고구호질량,감소사망솔화치잔솔.
Objective To analyze the importance of pre-hospital emergency treatment in patients with severe head injury in traffic accidents in terms of time and explore the general rule of severe head injury in traffic accidents to provide some evidence for relevant authority making the prevention and control measures of acute traumatic brain injury. Methods The patients were selected according to "statistical table of severe head injury in a traffic accident" established by our department; their correlated data were statistically analyzed. Based on the time intervals between receiving telephone time asking for first-aid and arriving to location of incidence, and time intervals between time of giving first-aid and injured time, the regularity of prognosis was analyzed.Results With the prolonged time intervals between time of giving first-aid and injured time, the mortality and disability rates gradually increased,followed by poor prognosis, which indicated that the prognosis was negatively correlated to the delayed time on the way and the on-site rescue time (rs=-0.10,P=0.002; rs=-0.06,P=0.034). Conclusion Prevention and control center for acute brain injury should be built and the roles for pre-hospital emergency treatment and transportation should be established to decrease the injured time (the delayed time on the way and the on-site rescue time) to improve the quality of care, and to reduce the death and disability in patients with severe head injury in traffic accidents.
