影响老年重型颅脑损伤患者预后的相关因素研究

Study on related factors of prognosis in elderly patients with severe traumatic brain injury

目的分析老年重型颅脑损伤患者的临床资料,总结影响老年人重型颅脑损伤预后的因素,为提高重型颅脑损伤的治疗水平提供科学的临床依据。方法回顾性分析我院收治的老年重型颅脑损伤患者117例,统计预后不良患者和预后良好患者的临床资料,采用Pearson相关性分析影响预后的相关因素。结果患者的既往史、合并伤、环池情况、脑疝、术后并发症、体温、WBC计数、血糖水平、入院GCS评分、收缩压是老年重型颅脑损伤患者预后相关因素(P<0.05)。结论降低患者血糖水平、体温,治疗合并症,改善机体缺血缺氧状态,降低颅内压,是提高患者生存率,改善预后的关键。

Objective To analyze the clinical data of elderly patients with severe traumatic brain injury,to summarize the prognostic factors of severe eranioeerebral injury in elderly patients,and to provide scientific basis for improving the level of treatment of severe traumatic brain injury. Methods 117 elderly patients with severe traumatic brain injury in our hospital were retrospectively analyzed.Clinical data of patients with poor prognosis and good prognosis were analyzed.Related factors affecting prognosis were analyzed by Pearson regression. Results The patient＇s past history,combined injuries,cisterna,brain hernia,postoperative complications,body temperature,WBC count,blood glucose level,admission GCS score,systolic blood pressure were related factors of prognosis in elderly patients with severe eranioeerebral injury（P 〈 0.05）. Conclusion Lowering blood glucose level,body temperature,treatment of complications,improving the state of ischemia and hypoxia,redueing intracranial pressure,is the key to improve the survival rate and prognosis of patients.