双侧额叶挫裂伤病人的预后相关因素分析  

Risk factors related to prognosis in patients with bilateral frontal contusion

作　　者：徐勤义 毛芳芳 王栋 刘俊 孙呈国 陆俊杰 徐龙庆 王玉海[3] XU Qin-yi;MAO Fang-fang;WANG Dong;LIU Jun;SUN Cheng-guo;LU Jun-jie;XU Long-qin;WANG Yu-hai(Department of Neurosurgery,the People's Hospital of Huishan District,Wuxi City,Wuxi 214187,China;Health Service Center,Huishan Street Community,Liangxi District,Wuxi City,Wuxi 214000,China;Department of Neurosurgery,The 101st Hospital,PLA,Wuxi 214114,China)

机构地区：[1]无锡市惠山区人民医院神经外科,江苏214187 [2]无锡市梁溪区惠山街道社区卫生服务中心,江苏214000 [3]中国人民解放军第101医院全军颅脑创伤中心,江苏无锡214114

出　　处：《中国临床神经外科杂志》2019年第4期211-213,217,共4页Chinese Journal of Clinical Neurosurgery

基　　金：无锡市卫生计生委课题(MS201610)

摘　　要：目的探讨双侧额叶挫裂伤病人预后相关影响因素。方法回顾性分析江苏省无锡市惠山区人民医院及解放军第101医院2010年12月至2016年12月收治的161例双侧额叶挫裂伤的临床资料。伤后6个月,采用GOS评分评估预后,4～5分为预后良好,1～3分为预后不良。采用多因素Logistic回归分析筛选预后危险因素。结果伤后6个月,预后良好118例,预后不良43例。多因素Logistic回归分析显示入院时GCS评分低、脑肿胀、血肿进展、未行颅内压监测是预后不良的独立危险因素(P<0.05)。结论对于双侧额叶挫裂伤,入院时GCS评分低、脑肿胀、血肿进展,预后往往不良,注意防治;颅内压监测下的治疗有助于改善病人预后。Objective To investigate the factors related to the prognosis in the patients with bilateral fontal contusions (BFC). Methods The clinical data of 161 patients with BFC who were treated from December,2010 to December,2016 were analyzed retrospectively.The factors related to their prognoses 6 months after BFC were analyzed by multivariate Logistic regression analysis. Results Of 161 patients with BFC,118 had good prognosis and 43 pool prognosis according to GOS 6 months after the injury.The univariate factor analysis showed that the factors including the low GCS scores on admission to the hospital,brain swelling,progressive hematoma and no monitoring of intracranial pressures (ICP) were related to the poor prognosis.The multivariate analysis showed that the risk factors related to the prognosis included low GCS scores on admission to the hospital,brain swelling,progressive hematoma and no monitoring of ICP.Conclusion The low GCS scores on admission to the hospital,brain swelling,progressive hematoma are related to the poor prognosis in the patients with BFC,in whom the interventricular monitoring of ICP is helpful to the improvement of the prognosis.

关 键 词：双侧额叶挫裂伤 预后 颅内压监测 危险因素 

分 类 号：R651.15[医药卫生—外科学]