轻型颅脑损伤的预后相关因素分析

发布时间：2019-01-11 14:25

【摘要】：目的探讨轻型颅脑损伤患者的预后及其相关因素。方法 1072例轻型颅脑损伤患者进入前瞻性研究,记录年龄、性别、文化程度、受伤方式、受伤后症状、格拉斯哥昏迷评分(Glasgow Coma Scale score,GCS评分)、实验室数据和头颅CT表现等,随访记录外伤后6个月后扩展格拉斯哥结局评分(Glasgow Outcome Scale Extended,GOSE评分)为预后指标。结果组间比较显示:年龄(t=8.65,P0.01)、文化程度(Z=14.05,P0.01)、受伤方式(χ~2=32.43,P0.01)、Rotterdam CT评分(Z=44.02,P0.01)、GCS评分(Z=129.87,P0.01)、创伤后头痛(χ~2=2.78,P0.01)、创伤后遗忘(χ~2=6.62,P=0.01)、创伤后意识丧失(χ~2=17.72,P0.01)和创伤后癫痫(χ~2=12.35,P0.01)有统计学差异;多因素回归分析显示:年龄、文化程度、致伤原因、创伤后意识丧失、创伤后癫痫、GCS评分和Rotterdam CT评分与预后不良相关。结论轻型颅脑损伤通常预后良好,但高龄、低文化程度、暴力击打伤、意识丧失、癫痫、低GCS评分和高Rotterdam CT评分患者可能预后不良。
[Abstract]:Objective to investigate the prognosis and related factors of mild craniocerebral injury. Methods 1072 patients with mild craniocerebral injury were enrolled in a prospective study to record age, sex, education, injury style, post-injury symptoms, Glasgow coma score (Glasgow Coma Scale score,GCS), laboratory data and cranial CT findings. The extended Glasgow outcome score (Glasgow Outcome Scale Extended,GOSE) was recorded 6 months after trauma as a prognostic index. Results the results showed that age (t = 8.65), education level (P 0.01), injury pattern (蠂 ~ 2 = 32.43 卤P 0.01), Rotterdam CT score (Z = 44.02 卤P 0.01), GCS score (Z = 129.87 / P0.01), age (t = 8.65 / P0.01), education level (P = 14.05), and injury pattern (蠂 ~ 2 = 32.43 / P0.01, P _ (0.01), P _ (0.01). There were significant differences in post-traumatic headache (蠂 ~ 2 + 2.78), post-traumatic amnesia (蠂 ~ 2), loss of consciousness (蠂 ~ (2) (17.72) P _ (0.01) and post-traumatic epilepsy (蠂 ~ (2) ~ (12.35) P _ (0.01). Multivariate regression analysis showed that age, education level, cause of injury, post-traumatic consciousness loss, post-traumatic epilepsy, GCS score and Rotterdam CT score were associated with poor prognosis. Conclusion patients with mild craniocerebral injury usually have a good prognosis, but the patients with advanced age, low education level, violent strike injury, loss of consciousness, epilepsy, low GCS score and high Rotterdam CT score may have poor prognosis.
【作者单位】：浙江省绍兴市人民医院(浙江大学绍兴医院);
【分类号】：R651.15

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