颅脑损伤患者远期生存质量评估

A New Method to Assess the Long Term Quality of Life in Traumatic Brain Injury Patients

目的评估颅脑损伤患者伤后不同时期的生活质量。方法颅脑外伤患者55例获得随访。使用GCS、GOS和KPS等作为参照,同时使用世界卫生组织生存质量测定简表(WHOQOL-BREF),由患者自行填写评估。结果WHOQOL-BREF与GOS,GCS,KPS均有很好的相关性。结论颅脑外伤的生存质量与其主观感受存在显著的相关性,一种多维评估量表,也可用于各种治疗手段的疗效评价。

Objective To evaluate the quality of life （QOL） for patients with traumatic brain injury （TBI） patients. Method A total of 55 TBI patients included in our study, whose Glasgow coma scale （GCS）, Glasgow outcome scale （GOS）, Kamofsky patient scale （KPS） and WHOQOL-BREF scores were observed during and atter their admission. Until Feb.2008, detailed follow-up results with a mean period of 3 years were got in 55 patients. All these data were analyzed statistically. Result The WHOQOL-BREF score not only correlated with GCS, GOS and KPS significantly, but also well reflected the long-term recovery of TBI patients. Conclusion The use of a multidimensional approach that also reflects physical, psychosocial and cognitive aspects proved to be effective in assessing the QOL of TBI patients and in evaluating the different new treatment methods.