重型颅脑损伤合并脑疝预后的临床因素分析

Influence Factors of Clinical Prognosis in Severe Craniocerebral Injury Patients With Cerebral Hernia

目的研究重型颅脑损伤合并脑疝患者预后的影响因素。方法选取我院2012年9月—2016年9月收治的86例重型颅脑损伤合并脑疝患者作为研究对象,收集所有患者一般资料,观察患者预后效果。对比预后较好和预后较差患者的一般资料情况,有差异项采用logistic回归方程进行计算,分析重型颅脑损伤合并脑疝患者预后的影响因素。结果所有患者预后较好者51例(59.3%),预后较差者35例(40.7%)。预后较好和预后较差患者在年龄、脑疝形成至手术时间、血肿类型以及术后并发症方面均差异有统计学意义,P<0.05。将上述因素带入logistic回归方程计算发现,年龄、脑疝形成至手术时间、血肿类型以及术后并发症均是重型颅脑损伤合并脑疝患者预后的影响因素。结论重型颅脑损伤合并脑疝患者的预后影响因素较多,根据患者实际情况采取针对性措施进行干预,可有效改善患者预后结局。

Objective To study the influencing factors of clinical prognosis in severe craniocerebral injury patients with cerebral hernia.Methods The clinical data about 86 severe craniocerebral injury patients with cerebral hernia treated from September 2012 to September 2016 in our hospital were collected.The general data of patients with better prognosis and poorer prognosis were compared using logistic regression equations to analyze the factors that affected the prognosis of severe brain injury patients with cerebral palsy.Results There were 51 favorable prognosis cases(59.3%)and 35 poor prognosis cases(40.7%).The patient’s age,time of starting the cerebral hernia to operation,hematoma types and postoperative complications for favorable cases and poor cases were significantly different(P<0.05).According to the Logistic regression equation,the influence factors of clinical prognosis included the patient’s age,time of starting the cerebral hernia to operation,hematoma types and postoperative complications.Conclusion There are multiple influence factors on the patient’s prognosis.According to the patient’s actual conditions,the specific interventions can effectively improve their prognosis.