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目的:本文通过对重型颅脑损伤的患者影响预后的一些因素进行分析。方法:选取2012年1月-2015年12月我院进行治疗后的重型颅脑损伤患者57例,其中男性患者33例,女性患者24例。根据GCS评分以及改良CT图像评分将患者分为三组,GCS评分为3分的患者10例,4~5分的患者21例,评分为6~8分的患者26例,根据患者的年龄、入院GCS评分、入院时的血糖、改良CT图像评分、凝血功能是否异常、是否患有脑疝等对进行分析,比较患者的预后情况。结果:其中GCS评分在3分、4-5分且改良CT图像评分高的患者治疗时死亡率高于三组患者,且患有高龄患者、高血糖、凝血功能异常~([1])和脑疝的患者死亡率高于没有出现这些情况的患者,且预后情况不佳。并且将患者所得临床数据进行分析,P<0.05,具有统计学意义;男性患者与女性患者中出现的各种信息数据P>0.05,不具有统计学意义。讨论:年龄、入院GCS评分、入院时血糖、改良CT图像评分、凝血功能异常~([2])、脑疝这些因素影响了重型颅脑损伤患者的预后,需要进行进一步的分析探讨。
OBJECTIVE: This article analyzes some of the factors that influence prognosis in patients with severe craniocerebral injury. Methods: 57 patients with severe traumatic brain injury in our hospital from January 2012 to December 2015 were selected, including 33 males and 24 females. The patients were divided into three groups according to the GCS score and the modified CT image score. There were 10 patients with GCS score of 3, 21 patients with 4 ~ 5 score, and 26 patients with score of 6 ~ 8. According to the patient’s age, Admission GCS score, admission blood glucose, improved CT image score, coagulation is abnormal, whether with herniation and so on, to analyze the prognosis of patients. Results: Among the patients with GCS score of 3, 4-5, and improved CT image score, the mortality rate was higher than that of the three groups, and there were elderly patients, hyperglycemia, coagulation dysfunction ~ ([1]) and Patients with hernias have a higher mortality rate than those without them, and their prognosis is poor. And the clinical data of patients were analyzed, P <0.05, with statistical significance; male patients and female patients appeared in various information data P> 0.05, not statistically significant. DISCUSSION Age, admission GCS score, blood glucose at admission, improved CT image score, coagulation abnormalities ~ ([2]) and herniation affect the prognosis of patients with severe craniocerebral injury and require further analysis.