Effect of improving prehospital hypotension and hypoxemia on the prognosis of patients with traumatic brain injury  

作　　者：Liang Liang Liwei Wu Yaowen Hu Xin Li Haiqing Dong Xiaofeng Sun 

机构地区：[1]Department of Neurosurgery,the First Central Hospital of Baoding,Baoding 071000,China [2]Department of Neurosurgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050051,China

出　　处：《Journal of Translational Neuroscience》2020年第2期34-39,共6页转化神经科学电子杂志（英文）

摘　　要：Objective:to investigate the effect of improving prehospital hypotension and hypoxemia on the prognosis of different subgroups of patients with traumatic brain injury(TBI).Methods:medical staff were trained about the prehospital first aid for 2 months to fully master the methods of improving prehospital hypotension and hypoxemia,then the prognosis of TBI patients pre-and post-training for 12 months was collected and recorded.The prognostic differences of different TBI subgroups were discussed through data analysis.Results:after the training,the proportion of prehospital hypotension and hypoxemia in TBI patients decreased by 77%(8.5%vs.1.9%)and 63%(9.9%vs.3.6%,P<0.05),respectively.However,only the prognosis of moderate and severe TBI patients was improved,the proportion of patients with"good prognosis^increased by 14%(61.4%vs.70.5%,respectively)and 62%(35.6%vs.58%),and no significant effect showed in mild and critical TBI patients.Conclusion:reducing the incidence of prehospital hypoxemia and hypotension can improve the prognosis of moderate and severe TBI patients,while no significant effect on mild and critical TBI patients.

关 键 词：traumatic brain injury(TBI) prehospital hypotension and hypoxemia Glasgow outcome scale(GOS) management guide 

分 类 号：R65[医药卫生—外科学]