摘要
目的回顾分析338 083例颅脑损伤住院患者的资料特点,对颅脑损伤的防控提供流行病学依据。方法从＂中华创伤数据库＂中提取2001~2007年210家医院收治的颅脑损伤患者住院信息,分析颅脑损伤住院患者的年龄、性别、住院时间分布、伤情、治疗结果等特点。结果颅脑损伤患者主要集中于11~60岁人群,占85.4%;其中31~40岁最多,占24.28%;90岁以上人数最少,占0.10%。7年间颅脑损伤患者人数呈增长趋势,年均增长率为6.37%。从住院月份分析,7~12月是颅脑损伤发生的主要时段;年龄分布与社会群体活跃情况分布一致;致伤原因分析提示颅脑损伤主要为道路交通事故导致;男女预后情况存在明显差异（P〈0.01）;各年龄段预后情况存在明显差异（P〈0.01）;各年龄段损伤严重度评分（ISS）差异有统计学意义（P〈0.01）。结论颅脑损伤的发生在年龄、性别、时间、致伤原因、治疗结果等方面存在规律性,应根据规律,在政策制定和救治过程中采取预防和改进措施,以提高我国颅脑损伤救治现状。
Objective To retrospectively analyze the clinical data characteristics of 338083 inpatients with traumatic brain injury so as to provide the epidemiological evidence for the prevention and control of traumatic brain injury（ TBI）. Methods The hospitalization information of the inpatients with TBI in 210 hospitals from 2001 to2007 was extracted from the Chinese Trauma Database,and their data including age,gender,time distribution,traumatic condition and treatment results was analyzed. Results The patients with TBI mainly aged 11-60 years（ 85. 4%）. Among them,31-40 years old patients accounted for the largest proportion（ 24. 28%）,over 90 years old patients accounted for the minimum percentage（ 0. 10%）. In recent 7 years,the number of patients with traumatic brain injury had a tendency to increase,with an average annual growth rate of 6. 37%. The number of injury had a rising trend year by year. According to the month analysis,the number of TBI patients mainly concentrated in the second half of the year. The distribution of the age in the TBI patients was consistent with the active situation of the social group. Traffic accident was the main cause of TBI. There was significant difference between men and women＇s prognosis and among all ages prognosis（ P 0. 01）. The injury severity score（ ISS） of each age group was significantly different（ P 0. 01）. Conclusion The TBI occurrence has regularity in age,gender,time,injury cause and treatment outcome. We should take prevention and improvement measures based on the law during the policy formulation and treatment process so as to improve the treatment outcome for TBI in China.
出处
《创伤外科杂志》
2016年第6期328-330,共3页
Journal of Traumatic Surgery
关键词
颅脑损伤
流行病学
回顾分析
brain injury
epidemiology
retrospective analysis
