116例创伤性脑疝术后预后相关因素分析

目的探讨创伤性脑疝手术患者预后相关因素。方法建立脑疝数据库。将116例创伤性脑疝手术患者,根据GOS评分分为预后不良组和预后良好组,运用多因素回归分析比较2组患者在12项临床因素上的差异,探讨影响预后的相关因素。结果与预后良好组比较,预后不良组在入院时GCS评分、血钾水平、术前与术后瞳孔评分,头颅CT影像学等方面差异存在统计学意义(P<0.05)。结论入院时GCS评分、血钾水平、术前与术后瞳孔评分,头颅CT影像学可作为创伤性脑疝患者预后评估的有效指标。

Objective Traumatic cerebral hernia is a common traumatic brain injury with a relatively high mortality and disability rate. However, few studies have examined the factors predicting the outcome of traumatic cerebral hernia. This clinical study analyzed the risk factors for prognosis in patients treated surgically for traumatic cerebral hernia. Methods We collected 116 consecutive patients who underwent neurosurgery for traumatic cerebral hernia.Then divide all the patients into two groups according to the different prognosis, and used multivariate Logistic regression analysis to evaluate the influence of 12 clinical variables on prognosis of patients. Results The postoperative pupil reaction、the level of potassium、Glasgow Coma Scores、head CT imaging and preoperative reaction were different in two groups（P0.05）. Conclusion The postoperative pupil reaction、the level of potassium、Glasgow Coma Scores, head CT imaging and preoperative reaction in admission can effectively predicted the prognosis of patients who underwent surgical treatment for traumatic cerebral hernias.