脑外伤患者预后的颅外影响因素临床分析

Clinical Analysis of Extracranial Factor in the Prognosis of Patients with Traumatic Brain Injury

目的:探讨影响脑外伤预后的颅外因素及预防对策。方法:采用回顾性调查方法调查140例脑外伤患者的临床资料,比较预后不良与预后良好两组患者年龄大小、就诊时间、创新性操作、体温、平均动脉压、血糖、血钠水平等方面的差异。结果:140例脑外伤患者中预后不良38例(27.14%);预后良好102例(72.86%);预后不良组体温(38.97±0.22)℃,血糖(10.89±2.23)mmol/L,血钠水平(156.68±12.67)mmol/L高于预后良好组的(38.15±0.19)℃、(8.34±1.98)mmol/L,(141.48±10.23)mmol/L;平均动脉压(11.12±2.56)Kpa低于预后良好组的(15.23±2.87)Kpa(P<0.05),是引起二次脑损伤的颅外因素。结论:影响脑外伤预后颅外因素复杂,应实施针对性预防措施进行积极干预。

Objective：To study the effect extracrania factors of prognosis of brain injury and prevention countermeasures.Methods：Using retrospective investigation method to survey clinical data,of 140 cases cerebral trauma patientsComparison difference between prognosis mala ang prognosis good group of age,see adoctor time,innovative operation,body temperature,mean arterial pressure,blood sugar,blood sodium level Results：140 cases of brain injury patients with poor prognosis 38 cases（27.14%）;Prognosis good 102 cases（72.86%）;The poor prognosis group body temperature（38.97 ± 0.22）℃,blood sugar（10.89 ± 2.23）mmol/L,the blood sodium level（156.68 ±12.67）mmol/L higher than good prognosis group（38.15 ± 0.19）℃,（8.34±1.98） mmol/L,（141.48 ±10.23） mmol/L;Mean arterial pressure（11.12±2.56） Kpa below good prognosis group（15.23±2.87） Kpa（P0.05）,is causeextracranial factors of secondary brain injury.Conclusion：Affect brain injury prognosis extracranial factors are complicated,should implement the specific prevention measures for active intervention.