颅脑外伤患者院内转运的危险因素调查分析

Risk factors of hospital transfer of patients with craniocerebral trauma

目的探讨颅脑外伤患者院内转运的危险因素。方法根据2011年5月至2012年5月进入抢救室的150例颅脑外伤患者的临床资料和调查问卷,将患者分为安全转运组和非安全转运组,先以单因素分析筛选出有统计学意义的危险因素,再通过多元逐步Logistic回归分析确定安全转运的独立危险因素。结果 150例患者中83例患者在转运过程中病情出现明显改变或其他危害病情的意外情况,非安全转运率为55.33%。在影响安全转运的各因素中,颈托固定、氧气供给、静脉输液、使用约束带、机械通气及GCS昏迷评分6个因素与急性颅脑外伤患者在院内能否安全转运呈显著相关。结论使用颈托固定、给于恰当的氧气供给、保持静脉输液通畅、使用约束带、不需进行机械通气及GCS昏迷评分高的颅脑外伤患者在院内转运过程中更安全。

Objective To investigate the risk factors of hospital transfer of patients with craniocerebral trau- ma. Methods According to the clinical data and questionnaire from 150 patients with craniocerebral trauma in the re- suscitation room from May 2011 to May 2012, the patients were divided into safe transfer group and non-safe transfer group. The risk factors with statistical significance were screened by single factor analysis, and then the independent risk factors of safe transfer were determined through multiple logistic regression analysis. Results In the 150 pa- tients, 83 developed significant changes or other severe harming accidents during the progress of transfer. The non-safe transfer rate was 55.33%. In the factors affecting the safe transfer, cervical fixation, oxygen supply, intrave- nous infusion, using constraints, mechanical ventilation and GCS were significantly correlated to the safe transfer of patients with acute cranioeerebral trauma. Conclusion It is safer in the progress of hospital transfer of patients with acute craniocerebral trauma using cervical fixation, proper oxygen supply, maintaining intravenous infusion, using con- straints, without mechanical ventilation and high GCS.