单纯额叶脑挫裂伤早期预后的相关因素分析  

Analysis of Correlative Factors in Early Prognosis of Simple Frontal Cerebral Contusion and Laceration

作　　者：於新军 刘成辉[1] 陈旭[1] 林启明[1] 肖胜辉[1] YU Xinjun;LIU Chenghui;CHEN Xu;LIN Qiming;XIAO Shenghui(The People’s Hospital of Nanhai District in Foshan City,Foshan 528200,China)

机构地区：[1]广东省佛山市南海区人民医院,广东佛山528200

出　　处：《中国医学创新》2020年第5期62-65,共4页Medical Innovation of China

摘　　要：目的:探讨影响单纯额叶脑挫裂伤早期预后的临床相关因素。方法:回顾性分析2014年6月-2018年3月本院收治的60例单纯额叶脑挫裂伤患者的临床资料,根据出院时GOS评分,将其分为预后良好组51例,预后不良组9例。分析两组患者的一般资料和临床资料,进而采用多因素Logistic回归分析单纯额叶脑挫裂伤早期预后的影响因素。结果:单因素分析显示,两组合并肺部感染、合并肝肾功能损害、行开颅手术、入院时T>38℃、血肿容积>30 mL比较,差异均有统计学意义(P<0.05)。预后良好组入院时GCS评分、HGB水平均明显高于预后不良组,hs-CRP及血糖水平均明显低于预后不良组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,入院时GCS评分、血肿容积>30 mL、hs-CRP水平均是单纯额叶脑挫裂伤早期预后独立影响因素(P<0.01)。结论:入院时GCS评分越低、血肿容积>30 mL、hs-CRP升高均是单纯额叶脑挫裂伤早期预后不良的主要危险因素。Objective:To investigate the clinical factors influencing the early prognosis of simple frontal cerebral contusion.Method:The clinical data of 60 patients with simple frontal cerebral contusion admitted to our hospital from June 2014 to March 2018 were retrospectively analyzed.According to the GOS score at discharge,they were divided into 51 patients with good prognosis and 9 cases in the group with poor prognosis.The general and clinical data of the two groups were analyzed,then,multivariate Logistic regression was used to analyze the factors influencing the early prognosis of frontal lobe contusion.Result:Univariate analysis showed that pulmonary infection,combined with hepatic and renal dysfunction,craniotomy,T>38℃at admission,and hematoma volume>30 mL were compared between the two groups,the differences were statistically significant(P<0.05).GCS score and HGB level in the group with good prognosis were significantly higher than those in the group with poor prognosis,hs-CRP and blood glucose levels were significantly lower than those in the group with poor prognosis,the differences were statistically significant(P<0.05).Multivariate Logistic regression analysis showed that GCS score,hematoma volume>30 mL and hs-CRP level were independent influencing factors for the early prognosis of simple frontal lobe contusion and laceration(P<0.01).Conclusion:The lower the GCS score,the higher the hematoma volume>30 mL and the higher the hs-CRP are at admission,the main risk factors for the poor early prognosis of simple frontal lobe contusion.

关 键 词：单纯额叶脑挫裂伤 早期预后 危险因素 GCS评分 血肿容积 HS-CRP 

分 类 号：R651.15[医药卫生—外科学]