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目的了解山东省道路性颅脑损伤伤者院前急救情况及其预后影响因素。方法从山东省2004年颅脑创伤住院患者数据库中整群抽取道路性颅脑损伤伤者,除一般资料外,对预后疗效评估的院前影响因素进行单因素和多因素Logistic回归分析。结果 2866例患者平均年龄37.8岁,男女比例约为3:l;2h内得到专业现场救治的占47.6%,现场保持呼吸道通畅的占28.5%、肢体固定占6.5%、颈椎固定占3.4%、院前采取气管插管比例占7.3%;出院时死亡比例占5.5%,半数以上死亡在2h内发生;预后的主要影响有性别、年龄、是否使用摩托车、现场是否呼吸通畅、现场是否肢体固定、院前是否气管插管等。结论改善道路交通环境、提高120反应速度及救护水平等可有效提高交通性颅脑损伤伤者预后康复水平。
Objective To understand the prehospital first aid and its prognostic factors in patients with traumatic brain injury in Shandong province. Methods From 2004 to 2004 inpatients with traumatic brain injury in Shandong Province, we collected the patients with traumatic brain injury by pathology. In addition to the general data, univariate and multivariate logistic regression analyzes were performed on the factors influencing the prognosis of prehospital evaluation. Results The average age of 2866 patients was 37.8 years. The ratio of male to female was about 3: 1. 47.6% were treated by professional on-site treatment within 2 hours. 28.5% of the patients had airway patency, 6.5% of limbs fixed, 3.4% of cervical vertebra fixation, Before taking intubation accounted for 7.3%; discharge rate of death accounted for 5.5%, more than half of the deaths occurred within 2h; the main prognosis of the gender, age, whether the use of motorcycles, the scene is breathing, the site is limbs fixed, Pre-hospital tracheal intubation. Conclusion Improving the traffic environment and improving the response speed and ambulance level can effectively improve the prognosis of patients with traumatic brain injury.