CAJ | 학술논문

目的探讨颅脑损伤开颅术中急性脑膨出者预后影响因素.方法回顾性分析168例开颅术中发生急性脑膨出患者的临床资料及随访结果,按格拉斯哥预后评分(GOS)进行分组,1 ～3分为预后不良组(对照组)、4～5分为预后良好组(研究组).采用二类分量多因素Logistic回归分析方法对患者年龄、心脑血管病史、术前格拉斯哥评分(GCS)、术前瞳孔、脑膨出原因、是否再次手术、术后GCS评分、术后瞳孔、凝血指标、血糖等10项可能预后影响因素进行分析.结果预后良好33例,预后不良135例.术后GCS评分、脑膨出原因、年龄与预后密切相关(P＜0.05).结论颅脑损伤术中发生急性脑膨出者总体预后差,术后GCS评分、术中脑膨出原因、年龄可作为预后判定的重要指标.
목적 탐토로뇌손상개로술중급성뇌팽출자예후영향인소.방법 회고성분석168례개로술중발생급성뇌팽출환자적림상자료급수방결과,안격랍사가예후평분(GOS)진행분조,1 ～3분위예후불량조(대조조)、4～5분위예후량호조(연구조).채용이류분량다인소Logistic회귀분석방법대환자년령、심뇌혈관병사、술전격랍사가평분(GCS)、술전동공、뇌팽출원인、시부재차수술、술후GCS평분、술후동공、응혈지표、혈당등10항가능예후영향인소진행분석.결과 예후량호33례,예후불량135례.술후GCS평분、뇌팽출원인、년령여예후밀절상관(P＜0.05).결론 로뇌손상술중발생급성뇌팽출자총체예후차,술후GCS평분、술중뇌팽출원인、년령가작위예후판정적중요지표.
Objective To explore the influencing factors of acute intraoperative encephalocele in craniotomy of brain injury patients.Methods A retrospective analysis about 168 cases of acute encephalocele in craniotomy surgery in patients with clinical data and follow-up results,according to the Glasgow outcome scale (GOS) group:patients with GOS 1 ～ 3 were divided into poor prognosis group (control group),patients with GOS 4～ 5 were divided into good prognosis group (research group).The second component multiariable Logistic regression analysis method was used for the analysis of patient age,history of heart head blood-vessel,preoperative score (GCS),preoperative pupil,encephalocele reasons,whether reoperation,postoperative GCS score,postoperative pupil,postoperative blood coagulation indexes,blood sugar,etc.Results Good prognosis was observed in 33 cases and poor prognosis in 135.The postoperative GCS,reasons of encephalocele and age were closely related with the prognosis (P ＜0.05).Conclusions The overall prognosis of traumatic brain injury patients with acute encephalocele during craniotomy was poor.The postoperative GCS,reasons of encephalocele and age could be used as important indexes for prognosis evaluation.