中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
10期
22-23,26
,共3页
颅脑损伤%手术结果%影响因素
顱腦損傷%手術結果%影響因素
로뇌손상%수술결과%영향인소
Traumatic brain injury%Surgical results%Factors
目的：探讨颅脑损伤手术结果与患者术前各影响因素的关系。方法回顾性分析2011年6月~2014年12月入住我院的行颅脑减压手术的92例颅脑损伤患者的临床资料，其中手术预后良好56例，预后不良36例。分别通过Pearson单因素与多元Logistic回归分析的方法对影响颅脑损伤手术结果的因素进行确定。结果①经Pearson单因素分析，预后良好组与预后不良组在年龄、GCS评分、收缩压、SpO2方面的差异均具有统计学意义（P<0.05）；②将上述单因素分析结果代入多元Logistic回归模型中，最终得出影响颅脑损伤手术结果的因素为：年龄（β=0.419，S.E=0.192，Wald=8.293，P<0.05，OR=1.827，95%CI为1.362~2.209）、GCS评分（β=0.753，S.E=0.368，Wald=9.091，P<0.05，OR=2.238，95%CI为1.827~3.114）、收缩压（β=0.746，S.E=0.273，Wald=7.082，P<0.05，OR=2.372，95%CI 为1.402~4.156）、SpO2（β=0.810，S.E=0.556，Wald=10.281，P<0.05，OR=2.591，95%CI 为2.211~3.391）。结论影响颅脑损伤患者手术结果的因素主要有年龄、GCS评分、收缩压以及SpO2水平，术前应对上述因素进行仔细观察，以改善颅脑损伤患者术后预后状况。
目的：探討顱腦損傷手術結果與患者術前各影響因素的關繫。方法迴顧性分析2011年6月~2014年12月入住我院的行顱腦減壓手術的92例顱腦損傷患者的臨床資料，其中手術預後良好56例，預後不良36例。分彆通過Pearson單因素與多元Logistic迴歸分析的方法對影響顱腦損傷手術結果的因素進行確定。結果①經Pearson單因素分析，預後良好組與預後不良組在年齡、GCS評分、收縮壓、SpO2方麵的差異均具有統計學意義（P<0.05）；②將上述單因素分析結果代入多元Logistic迴歸模型中，最終得齣影響顱腦損傷手術結果的因素為：年齡（β=0.419，S.E=0.192，Wald=8.293，P<0.05，OR=1.827，95%CI為1.362~2.209）、GCS評分（β=0.753，S.E=0.368，Wald=9.091，P<0.05，OR=2.238，95%CI為1.827~3.114）、收縮壓（β=0.746，S.E=0.273，Wald=7.082，P<0.05，OR=2.372，95%CI 為1.402~4.156）、SpO2（β=0.810，S.E=0.556，Wald=10.281，P<0.05，OR=2.591，95%CI 為2.211~3.391）。結論影響顱腦損傷患者手術結果的因素主要有年齡、GCS評分、收縮壓以及SpO2水平，術前應對上述因素進行仔細觀察，以改善顱腦損傷患者術後預後狀況。
목적：탐토로뇌손상수술결과여환자술전각영향인소적관계。방법회고성분석2011년6월~2014년12월입주아원적행로뇌감압수술적92례로뇌손상환자적림상자료，기중수술예후량호56례，예후불량36례。분별통과Pearson단인소여다원Logistic회귀분석적방법대영향로뇌손상수술결과적인소진행학정。결과①경Pearson단인소분석，예후량호조여예후불량조재년령、GCS평분、수축압、SpO2방면적차이균구유통계학의의（P<0.05）；②장상술단인소분석결과대입다원Logistic회귀모형중，최종득출영향로뇌손상수술결과적인소위：년령（β=0.419，S.E=0.192，Wald=8.293，P<0.05，OR=1.827，95%CI위1.362~2.209）、GCS평분（β=0.753，S.E=0.368，Wald=9.091，P<0.05，OR=2.238，95%CI위1.827~3.114）、수축압（β=0.746，S.E=0.273，Wald=7.082，P<0.05，OR=2.372，95%CI 위1.402~4.156）、SpO2（β=0.810，S.E=0.556，Wald=10.281，P<0.05，OR=2.591，95%CI 위2.211~3.391）。결론영향로뇌손상환자수술결과적인소주요유년령、GCS평분、수축압이급SpO2수평，술전응대상술인소진행자세관찰，이개선로뇌손상환자술후예후상황。
Objective To investigate the relationship between the various factors of traumatic brain injury patients un-dergoing surgery before the results of surgery. Methods A retrospective analysis from June 2011 to December 2014 in our hospital's clinical data line occupancy brain decompression surgery, 92 cases of traumatic brain injury patients,including a good number of surgical outcomes of 56 patients,the number of 36 patients with a poor prognosis cases. By Pearson univariate and multivariate Logistic regression analysis determine factors affecting the surgical results in pa-tients with traumatic brain injury. Results(1)By Pearson univariate analysis,good prognosis group and a poor progno-sis group in age, GCS score, systolic blood pressure, SpO2 respect, the differences were statistically significant (P<0.05);(2) the analysis of the single-factor results to substitute Logistic regression model, ultimately affecting the sur-gical results obtained in patients undergoing brain injury factors age(β=0.419,SE=0.192,Wald=8.293,P<0.05, OR=1.827,95%CI for 1.362~2.209), GCS score (β=0.753,SE=0.368,Wald=9.091,P<0.05,OR=2.238,95% CI of 1.827~3.114), systolic blood pressure(β=0.746,SE=0.273,Wald=7.082,P<0.05,OR=2.372,95%CI of 1.402~4.156),SpO2(β=0.810,SE=0.556,Wald=10.281,P<0.05,OR=2.591,95%CI of 2.211~3.391). Conclusion The factors affecting the brain injury surgical results are mainly age, GCS score, systolic blood pressure and SpO2 levels, preoperative should observe carefully these factors to improve prognosis in patients with traumatic brain injury situation.
