摘要
目的探讨神经外科颅脑外伤患者预后和影响因素。方法选择2010年3月～2012年3月在我院神经外科住院治疗的86例颅脑外伤患者为研究对象,按照患者预后将其分为对照组和观察组,根据查阅颅脑外伤相关文献制定自编问卷,采用二分类Logistic回归分析对颅脑外伤患者预后影响因素进行分析。结果在本研究入选的86例患者中,55例患者预后良好,预后良好率为63.95%,而预后不良率为36.05%。多因素Logistic回归分析发现凝血功能异常、术后出现并发症和脑干损伤是影响颅脑外伤患者预后的危险因素,而康复训练到位是影响颅脑外伤患者预后的保护因素。结论颅脑外伤患者预后同时受多方面因素的影响,我们应该针对性地采取干预措施来改善患者预后。
Objective To investigate the prognosis and influencing factors of neurosurgery in patients with traumatic brain injury. Methods From March 2010 to March 2012,86 cases of hospitalized traumatic brain injury patients in neurosurgery of our hospital were selected as research subbjects. In accordance with the prognosis, patients were divided into control group and observation group, according to the literature of inspection of traumatic brain injury patients,a self questionnaire is developed. Two Classification Logistic Regression A was performed to analyze prognostic factors of patients with traumatic brain injury. Results In 86 patients enrolled in this study,55 patients had good prognosis,the rate of good prognosis was was 63.95 ~//0 ,and poor prognosis 36.05 %. Multivariate I.ogistic Regression Analysis showed that the clotting dysfunction, postoperative complications, and brain stem injury were major risk factors affecting the prognosis of patients with traumatic brain injury. Appropriate rehabilitation training is the protective factor affecting the prognosis of patients with traumatic brain injury. Conclusion Traumatic brain injury prognosis is affected by by many factors, we should take appropriate interventions to improve the prognosis of patients, and improve patient outcomes.
出处
《成都医学院学报》
CAS
2013年第1期32-34,38,共4页
Journal of Chengdu Medical College
基金
吉林省卫生厅课题(NO:201004234)
关键词
神经外科
颅脑外伤
预后
影响因素
Neurosurgery
Traumatic brain injury
Prognosis
Influencing factors
