中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2013年
8期
819-822
,共4页
黄国兵%潘学武%曹盛生%刘颖%李伯和%蔡龙
黃國兵%潘學武%曹盛生%劉穎%李伯和%蔡龍
황국병%반학무%조성생%류영%리백화%채룡
颅脑损伤%多发伤%预后%影响因素%综合治疗
顱腦損傷%多髮傷%預後%影響因素%綜閤治療
로뇌손상%다발상%예후%영향인소%종합치료
Traumatic brain injury%Multiple injury%Prognosis%Influencing factor%Comprehensive treatment
目的 探讨影响颅脑损伤合并多发伤预后的有关指标以及综合治疗的意义. 方法 收集宜春市人民医院神经外科自2009年9月至2012年9月收治的123例颅脑损伤合并多发伤患者的临床资料,采用单因素和多因素Logistic回归分析方法,分析性别、年龄、收缩压、基础疾病、手术治疗、GCS评分、伤情严重程度(ISS)评分、伤后时间、血小板计数、血糖、颅脑损伤伴损伤部位、并发症等因素与患者生存预后的关系. 结果 Logistic回归分析结果显示,收缩压≤8.0 kPa、存在基础疾病、GCS评分≤8分、ISS评分≥25、伤后时间、胸腹部损伤和休克这7个变量是导致颅脑损伤合并多发伤患者预后差的独立危险因素. 结论 收缩压、基础疾病、GCS评分、ISS评分、伤后时间、胸腹部损伤和休克对评估颅脑损伤合并多发伤患者的预后有重要意义;重视颅脑损伤的治疗是颅脑损伤合并多发伤救治成功的关键.
目的 探討影響顱腦損傷閤併多髮傷預後的有關指標以及綜閤治療的意義. 方法 收集宜春市人民醫院神經外科自2009年9月至2012年9月收治的123例顱腦損傷閤併多髮傷患者的臨床資料,採用單因素和多因素Logistic迴歸分析方法,分析性彆、年齡、收縮壓、基礎疾病、手術治療、GCS評分、傷情嚴重程度(ISS)評分、傷後時間、血小闆計數、血糖、顱腦損傷伴損傷部位、併髮癥等因素與患者生存預後的關繫. 結果 Logistic迴歸分析結果顯示,收縮壓≤8.0 kPa、存在基礎疾病、GCS評分≤8分、ISS評分≥25、傷後時間、胸腹部損傷和休剋這7箇變量是導緻顱腦損傷閤併多髮傷患者預後差的獨立危險因素. 結論 收縮壓、基礎疾病、GCS評分、ISS評分、傷後時間、胸腹部損傷和休剋對評估顱腦損傷閤併多髮傷患者的預後有重要意義;重視顱腦損傷的治療是顱腦損傷閤併多髮傷救治成功的關鍵.
목적 탐토영향로뇌손상합병다발상예후적유관지표이급종합치료적의의. 방법 수집의춘시인민의원신경외과자2009년9월지2012년9월수치적123례로뇌손상합병다발상환자적림상자료,채용단인소화다인소Logistic회귀분석방법,분석성별、년령、수축압、기출질병、수술치료、GCS평분、상정엄중정도(ISS)평분、상후시간、혈소판계수、혈당、로뇌손상반손상부위、병발증등인소여환자생존예후적관계. 결과 Logistic회귀분석결과현시,수축압≤8.0 kPa、존재기출질병、GCS평분≤8분、ISS평분≥25、상후시간、흉복부손상화휴극저7개변량시도치로뇌손상합병다발상환자예후차적독립위험인소. 결론 수축압、기출질병、GCS평분、ISS평분、상후시간、흉복부손상화휴극대평고로뇌손상합병다발상환자적예후유중요의의;중시로뇌손상적치료시로뇌손상합병다발상구치성공적관건.
Objective To analyze the clinical features of craniocerebral injury combined with multiple injuries,and investigate the significance of severity index and its comprehensive treatments.Methods The clinical data of 123 patients with traumatic brain injury combined with multiple injuries,admitted to our hospital from September 2009 to September 2012,were collected.The relationships between survival rate and such factors as gender,age,systolic pressure,basic disease,operation treatment,GCS scores,ISS scores,injury time,platelet count,blood glucose level,brain injury combined with other injuries and complications were determined by univariate analysis and multivariate logistic regression analysis with SPSSl3.0.Results Logistic regression analysis revealed that systolic pressure ≤8.0 kPa,basic disease,GCS scores≤8,ISS scores ≥25,injury time,thoracic and abdominal injury and shock were independent prognostic factors of traumatic brain injury combined with multiple injuries.Conclusion The multiple injuries have various causes:the systolic pressure ≤ 8.0 kPa,basic disease,GCS scores≤8,ISS scores≥25,injury time,thoracic and abdominal injury and shock can be used to predict the severity of injury and prognosis; paying attention to the treatment of head injury is the key of successful treatment.
