南昌市区13727例颅脑创伤患者流行病学分析  

Characteristic analysis of epidemiology of 13727 traumatic brain injury of Nanchang

作　　者：况建国[1] 徐智敏[1] 聂爱萍[1] 夏亮[1] 邹安琪[1] 

机构地区：[1]南昌大学第一附属医院神经外科,南昌330006

出　　处：《江西医药》2011年第4期299-301,共3页Jiangxi Medical Journal

基　　金：江西省卫生厅科技计划项目(20063506)

摘　　要：目的探讨南昌市急性颅脑创伤住院患者的流行病学特征。方法回顾性研究13727例颅脑创伤住院患者的临床资料,应用EXCEL2007,SPSS14.0进行统计学分析。结果 13727例患者中,男9642例(70.24%),女4085例(29.76%);16-45岁7698例(35.08%);受伤职业前三位是农民(29.61%),工人(12.57%),学生(12.06%);受伤原因前三位为车祸(50.19%),打击伤(17.25%)和坠落伤(13.38%);闭合性颅脑损伤97.02%。出院时良好(82.66%),轻中残(7.02%),重残(3.12%),植物生存或长期昏迷(1.72%),死亡(5.48%)。结论车祸伤、打击伤、坠落伤是颅脑创伤主要原因。年龄在16-45岁,农民和工人为高危人群。加强公共安全教育、规范颅脑创伤的救治方法是预防颅脑创伤的发生和提高其救治水平的重要途径。Objective To explore the epidemic feature of acute traumatic brain injury（TBI） hospitalized patients of Nanchang.Methods To analyse retrospectively about the clinical data of 13727 cases of TBI,and do statistic analysis with software EXCEL 2007 and SPSS 14.0.Results In 13727 the cases,we can find that the male cases were 9642 with 70.24%,and female were 4085 at the ratio of 29.76%.The mainly age was raised from 16 to 45（35.08%）.of all the cases,the sequence of occupation was peasants（29.61%）,workers（12.57%）,students（12.06%）.The major cases of the TBI were traffic accident（50.19%）,then violence（17.25%） and falling（13.53%）.97.02% of the patients undergo a closed trauma of the head.There were 11347 cases at the percents of 82.66 healing well and can go well life,964 cases for 7.02% were moderately disabled but capable of self-care,while there were 3.12% of the patients with a number of 428 cases who were severely disabled and 1.72%（236 cases） were still in a coma.Otherwise,752 cases with 5.48% were dead.Conclusion The three major causes of acute TBI are traffic accident,violence and falling.People at the age of 16～45 are at high risk.We should do something at unifying the treatment standard,fortifying the public safety education and regulating the therapy for reducing the mortality and disability rate.

关 键 词：颅脑创伤 流行病学 预防 

分 类 号：R651.15[医药卫生—外科学]