CAJ | 학술논문

目的：总结因颅脑外伤行去骨瓣减压术患者的临床资料，探讨术后发生咀嚼功能损害的危险因素。方法：回顾性分析颅脑外伤行去骨瓣减压术患者的临床资料，将患者性别、年龄、入院时GCS评分、颅骨缺损直径、术前意识障碍时间、术后昏迷持续时间以及手术方式等列为影响因素，评估患者术后1个月时的咀嚼功能。通过卡方检验筛选术后发生咀嚼功能损害的危险因素，经多因素Logistic回归分析确定独立危险因素。结果：患者1月时发生咀嚼功能损害96例(占46.60%)。非条件Logistic回归多因素分析显示，年龄为术后1月时发生咀嚼肌乏力的独立危险因素，颅骨缺损直径和颞肌帖覆为术后1月时发生咀嚼肌疼痛的独立危险因素。结论：对于颅脑外伤行去骨瓣减压术患者，年龄≥40岁应注意加强咀嚼功能锻炼，减少手术创伤是避免咀嚼肌疼痛的重要因素。
목적：총결인로뇌외상행거골판감압술환자적림상자료，탐토술후발생저작공능손해적위험인소。방법：회고성분석로뇌외상행거골판감압술환자적림상자료，장환자성별、년령、입원시GCS평분、로골결손직경、술전의식장애시간、술후혼미지속시간이급수술방식등렬위영향인소，평고환자술후1개월시적저작공능。통과잡방검험사선술후발생저작공능손해적위험인소，경다인소Logistic회귀분석학정독립위험인소。결과：환자1월시발생저작공능손해96례(점46.60%)。비조건Logistic회귀다인소분석현시，년령위술후1월시발생저작기핍력적독립위험인소，로골결손직경화섭기첩복위술후1월시발생저작기동통적독립위험인소。결론：대우로뇌외상행거골판감압술환자，년령≥40세응주의가강저작공능단련，감소수술창상시피면저작기동통적중요인소。
Objective: To summarize the clinical parameters of patients with traumatic brain injury undergoing decompressive craniotomy and evaluate risk factors of postoperative injury of masticatory function. Methods: The clinical data of patients with traumatic brain injury undergoing decompressive craniotomy in our institution were analyzed retrospectively, of which Gender, age, GCS score on admission, diameter of defect, preoperative and postoperative duration of consciousness disorders, and surgical approach were analyzed as influencing factors. Masticatory function at one month after decompressive craniotomy was evaluated. The chi-square test was employed to select risk factors for masticatory dysfunction. Non-condition logistic regression analysis was employed to define the independent risk factors. Results: There were 96 cases (46.60%) with masticatory dysfunction at one month postoperative. The mon-condition logistic regression analysis showed that age was independent risk factor of masticatory muscle fatigue, diameter of defect and temporalis muscle patching were independent risk factors of masticatory muscle pain. Conclusion: Attention should be paid to patients with age ≥40 to enhance masticatory functional exercise postoperatively. Reduction of surgical trauma is essential to avoid muscle pain.