2671例颅脑创伤患者流行病学调查  

Epidemiology survey of 2671 cases of traumatic brain injury

作　　者：李季林[1] 盛罗平[1] 陈仁辉[1] 陆林其[1] 陈雪林[1] 陈华[1] 顾泉[1] 宁刚[1] 丁建[1] 

机构地区：[1]复旦大学附属中山医院青浦分院神经外科,上海201700

出　　处：《创伤外科杂志》2013年第6期492-496,共5页Journal of Traumatic Surgery

基　　金：上海市卫生局(青年)(20114Y130)

摘　　要：目的探讨上海市青浦区颅脑创伤（TBI）的发生规律和临床特点，为制定预防和干预措施提供科学依据。方法收集2012年青浦区TBI患者的年龄、性别、受伤时间、文化程度、职业、受伤地点、受伤原因、伤情、治疗方法和治疗效果等临床资料进行前瞻性分析。结果共收集TBI资料2671例，男女之比2．27：1；平均年龄（37．82±18．25）岁，20～59岁占总数的83％。农民是TBI最高发病人群，其次为工人和学生。交通事故发生率最高（占58．52％），受伤者主要为电瓶车和摩托车驾驶员（占65．54％）。中学发生率最高（占55．78％），其次为小学（占29．31％）。TBI的发生高峰时间在5、7、8、10、12月份；1d之内7：00～9：00、16：00～18：00是2个发病高峰期；1周内周五、周六、周日发病率最高。外伤主要发生在普通公路（占54．40％），其次为公共场所（15．42％）。轻型TBI患者最多（占85．10％），各种类型的TBI均以道路交通伤为主，TBI程度在不同原因的伤害中具有显著性差异（χ2=532．42，P〈0．001）。TBI合并伤涉及皮肤、骨骼最多（占14．79％）。不同类型TBI程度与GOS预后具有显著性差异（χ2=6739．53，P〈0．001）。结论TBI的发生，在年龄、性别、时间、文化程度、职业、地点、受伤原因等分布上存在一定的规律性，根据不同人群的特点，可采取一定预防和干预措施．以利TBI的预防和控制颅脑交通伤的发生。Objective To investigate the incidence and clinical features of traumatic brain injury in Qingpu District of Shanghai, so as to provide a scientific basis for developing the prevention and intervention measures. Methods Clinical data of traumatic brain injury patients in Qingpu district in 2012 were collected and prospective- ly analyzed, including patients＇ age, gender, injury time, education level, occupation, injury place, injury cause, injury condition, treatment methods and curative effect. Results There were 2671 cases of traumatic brain injury, with the male to female ratio of 2. 27 ： 1. The mean age was 37. 82 ± 18. 25 years, and the patients aging 20-59 years accoun- ted for 83%. Farmers had the highest proportion of TBI,followed by workers and students. Traffic accidents ac- counted for the highest incidence（58.52% ） ,mainly by electric vehicles and motorcycles（65.54% ）. The propor- tion of middle school students accounted for 55.78% , followed by primary school students （ 29. 31% ）. Most of trau- matic brain injury occurred in May, Jul, Oct and Dec.. 7-9 o＇clock and 16-18 o＇clock within a day; Friday, Saturday and Sunday within a week. Trauma occurred mainly in the ordinary roads （ 54. 40% ） , followed by public places （ 15.42% ）. Mild head trauma patients accounted for 85.10%. The traumatic brain injury degree in different types of injuries was significantly different （χ2 = 532.42 ,P 〈 0. 001）. Most of traumatic brain injuries were associated with skin and bone injury （ 14. 79% ）. There was significant difference between the degree of different types of trau- matic brain injury and GOS prognosis （ χ2 =6739. 53 ,P 〈 0. 001 ）. Conclusion There is a certain regularity about the distribution of traumatic brain injury in age, gender, injury time, education level, occupation, injury place, injury cause, injury condition, treatment methods and curative effect. According to the characteristics of different groups of people, we can take the preventive and interven

关 键 词：道路交通伤 颅脑创伤 流行病学 

分 类 号：R651.15[医药卫生—外科学]