摘要
目的探讨对冲性脑损伤的治疗效果及影响预后的相关因素。方法选择该院收入的对冲性脑损伤患者共114例,患者给予治疗,结果采用COS功能评分评价患者的预后,对比患者年龄、性别、受伤至手术时间、受伤原因、术前GCS评分、受伤部位、额颞脑挫裂伤、血肿、脑疝以及治疗方式等因素与预后的相关性。结果影响对冲性脑损伤的相关因素分析中显示,术前GCS评分>8分组预后不良率显著低于术前GCS评分<8分组,手术治疗组预后不良率显著低于非手术治疗组,结果对比差异有统计学意义,P<0.05。Logistic多因素回归分析中显示,GCS评分、治疗方式、患者伴有水肿、脑疝为影响对冲性脑损伤患者预后的独立因素。结论 GCS评分、治疗方式、患者伴有水肿、脑疝为影响对冲性脑损伤患者预后的独立因素。
Objective To investigate the related factors of treatment and prognosis in counter-coup craniocerebral injury. Methods 114 counter-coup craniocerebral injury patients were selected. COS functional score was used to evaluate the prognosis of patients ,to compare patients＇age,gender, time between injury and operation, causes of injury ,preoperative GCS score, the injured area, contusion and lacera- tion of frontal and temporal cerebra, cerebral hernia and treatment method. Results The analysis showed that preoperative GCS score 〉 8 groups＇ prognosis defect rate was significantly lower than preoperative GCS score 〈 8 group, surgery treatment group prognosis defect rate significantly lower than non-operative therapy group,with statistically significant difference, P 〈 0.05. Logistic regression analysis of multiple factors showed that GCS score, treatment method, patients with edema, cerebral hernia were independent factors which influenced counter-coup craniocerebral injury patients＇ prognosis. Conclusion GCS score, treatment method, patients with edema, cerebral hernia are independent factors which influence counter-coup craniocerebral injury patients prognosis.
出处
《安徽医药》
CAS
2013年第2期270-272,共3页
Anhui Medical and Pharmaceutical Journal
关键词
对冲性脑损伤
预后
GCS评分
counter-coup craniocerebral injury
prognosis
GCS score
