摘要
目的分析影响重型颅脑损伤患者生存的风险因素,为预后评估提供参考。方法选择472例重型颅脑损伤患者临床资料,采用单因素分析预后相关因素,对相关因素建立COX生存风险比例模型,分析影响患者生存的独立危险因素。结果重型颅脑损伤患者死亡率为61.2%,患者年龄、颅脑损伤严重程度、损伤类型、CT分级、脑疝、手术治疗是影响患者预后的相关因素,COX生存风险比例模型显示,颅脑损伤严重程度、类型及CT分级是影响预后的独立危险因素。结论重型颅脑损伤患者死亡率高,损伤的严重程度是影响患者生存的主要因素。
Objective To analyze survival risk factor on patients with severe craniocerebral injury and provide reference for assessment of prognosis. Methods A total of 472 cases of patients with severe craniocerebral injury were selected, correla- tion factors of prognosis were analyzed with chi square test, COX survival risk scale model was established to analyze inde- pendent risk factors of prognosis that had effect for survival of patients. Results Death rate was 61.2% for patients with se- vere craniocerebral injury; univariate analysis showed that age, severity of craniocerebral injury, type of craniocerebral in- jury, grading of CT, cerebral hernia and operation therapy were correlation factors with prognosis; Cox＆apos analysis showed that severity and type of craniocerebral injury, grading of CT were independent risk factors of survival. Conclusion Death rate is high for patients with severe craniocerebral injury, and severity of craniocerebral injury is major influencing factor for prognosis.
出处
《中国现代医生》
2012年第16期43-44,共2页
China Modern Doctor
关键词
重型颅脑损伤
生存危险因素
相关因素
Severe craniocerebral injury
Survival risk factor
Correlation factor
