脑震荡后脑功能障碍与相关因素回顾性研究

Retrospectiv study on the concussion sequelas and correlative factors

目的探讨脑震荡后脑功能障碍形成原因、类型和相关因素。方法对1995年3月～1999年10月治疗的86例脑震荡后脑功能障碍临床资料进行回顾性分析。结果86例脑震荡后脑功能障碍占同期脑震荡的21.6％，通过经颅三维多普勒(3D－TCD)检测显示，尼莫地平组在解除脑震荡引起脑血管痉挛和改善脑血流平均峰速度明显优于治疗组。结论伤后是否残留脑功能障碍取决于颅脑损伤程度和由此产生的意识障碍时间与脑血液循环障碍，治疗时间与采取主要治疗方法等。

Objective To discuss the causes types and correlative factors of brain dysfunction after concussion.Method 86 cases with concussion sequela treated during the period of March 1995 to October 1999 were analyzed retrospectively.Result 86 patients with sequelas accounted for 21.6％of concussion patients in the same period.According to the results of three-dimensional trancranial doppler (3D－TCD)test.In Nimodipine group it was better to release cerebral vessel spasm caused by concussion and improve the average peak velocity of cerebral blood flow ,The results were better than other groups .Conclusion Wheather there would be sequelas after head injury depended on the injure degree ,unconsciousness duration and cerebral blood circulation malfunction .The correlation factors included injured causes,unconsciousness duration ,therapeutical duration and methods of treatment .