影响老年重型颅脑损伤患者预后的危险因素  

Analysis on the risk factors of prognosis for severe craniocerebral injuries in aged

作　　者：辛志成[1] 周政[2] 龙连圣[1] 张建忠[1] 赵朝晖[1] 李夏良[1] 蒋超[1] 苏强[1] 

机构地区：[1]中国人民解放军第98医院神经外科,湖州313000 [2]第三军医大学附属新桥医院神经外科,重庆400037

出　　处：《中国实用神经疾病杂志》2009年第22期15-17,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析各种危险因素对老年重型颅脑损伤预后的影响。方法回顾性分析性别、格拉斯哥昏迷评分(GCS)、颅骨骨折、颅内血肿、多发性损伤等多种因素对87例老年重型颅脑损伤患者预后的影响。结果GCS评分、颅内血肿、多发性损伤是影响老年重型颅脑损伤患者预后的重要危险因素(P<0.05),性别、颅骨骨折对预后影响差异无统计学意义(P>0.05)。结论我们要充分认识影响老年重型颅脑损伤患者预后的各种危险因素,减少致残率和病死率。Objective To analyze the risk factors of prognosis for severe craniocerebral injuries in aged. Methods The multiple indices for outcome including gender, Glasgow Coma Scale （GCS） scores, skull fracture, intracranial hematoma and multiple injuries were retrospectively analyzed in 87 patients with severe craniocerebral injuries in aged. Results The risk factors of poor outcome for severe craniocerebral injuries in aged including GCS scores, intracranial hematoma and multiple injuries （P〈0. 05）. Gender and skull fracture had nothing to do with the prognosis（P〉0.05）. Conclusion To decrease mutilation rate and mortality, we should sufficiently know the risk factors of prognosis for severe craniocerebral injuries in aged.

关 键 词：脑损伤 预后 危险因素 

分 类 号：R651.15[医药卫生—外科学]