661例颅脑损伤患者伤情特点和结局危险因素分析

Injury characteristics and prognostic risk factors of 661 patients with craniocerebral injury

目的分析住院颅脑损伤患者伤情特点，探讨结局相关危险因素，为医疗预防、干预和救治措施提供部分改进建议。方法应用“创伤数据库系统”采集2009年所收治的661例颅脑损伤患者住院病历，分析颅脑损伤患者的一般情况、伤情及结局，并通过Logistic回归探讨影响颅脑损伤患者结局的危险因素。结果颅脑损伤患者中男性占70．0％（463／661）；45岁左右为高发年龄段；下半年患者数为上半年的1．65倍（412／249）；交通伤是主要致伤原因（87．7％，580／661）；多发伤达512例（77．5％）。ISS评分、致伤原因、患者年龄、损伤发生的季度与救治结局密切有关。结论颅脑损伤住院患者在性别、年龄、发生时间、致伤原因、多发伤等方面具有明显的特点，其最终治疗结局与损伤严重程度、致伤原因、年龄等因素密切相关。

Objective To investigate the injury characteristics and prognostic risk factors of pa- tients with craniocerebral injury so as to provide some suggestions for the improvement of medical preven- tion, intervention and treatment measures. Methods Trauma database system was applied to collect the medical records of 66l patients with traumatic brain injury admitted to the Department of Neurosurgery of 105th Hospital of Hefei in 2009. Their general conditions, injury characteristics and outcomes were an- alyzed and the risk factors affecting their outcomes were investigated by Logistic regression analysis. Results Of the patients with craniocerebral injury, the males accounted for 70% （463/661）. The pa- tients at 45 years old or so had the highest incidence of cranioeerebral injury. Patient number in the sec- ond half of one year was 1.65 times more than that in the first half of one year （4t2/249）. Most patients were injured from traffic accidents （87.7% , 580/661 ） and 512 patients （77.5%） suffered from multi- ple injuries. ISS, injury causes, age and injury incidence quarters showed close correlation with the final outcome. Conclusions The patients with craniocerebral injury demonstrates distinctive characteristics in aspects of gender, age, incidence time, injury causes, and multiple injuries, but the ultimate out- comes are related to the injury severity, injury causes, age and other factors.