轻型颅脑损伤并脑震荡后综合征的相关因素分析  

Analysis of related factors of postconcussional syndrome after mild traumatic brain injury

作　　者：贺建勋[1] 孟庆龙[1] 段光辉[1] 顾淑莉 莫延红 何蕊芳 魏洪涛[1] HE Jianxun;MENG Qinglong;DUAN Guanghui;GU Shuli;MO Yanhong;HE Ruifang;WEI Hongtao(Department of Neurology,the Affiliated Hospital of Northwest University for Nationalities,Gansu Province,Lanzhou730000,China;Department of Psychosomatic Diseases,the Affiliated Hospital of Northwest University for Nationalities,Gansu Province,Lanzhou730000,China)

机构地区：[1]西北民族大学附属医院神经科,甘肃兰州730000 [2]西北民族大学附属医院心身疾病科,甘肃兰州730000

出　　处：《中国医药导报》2021年第26期65-67,72,共4页China Medical Herald

基　　金：甘肃省科技计划项目(18YF1FA038);中央高校重点项目(31920150061)。

摘　　要：目的分析轻型颅脑损伤后并脑震荡后综合征的相关因素,为脑震荡后综合征的防治提供临床依据。方法收集2016年8月至2019年6月于西北民族大学附属医院就诊的轻型颅脑损伤后并脑震荡后综合征患者48例(病例组),以及轻型颅脑损伤后3个月无症状患者30例(对照组)的相关临床资料,利用单因素分析及logistic回归分析筛选轻型颅脑损伤后并脑震荡后综合征的影响因素。结果病例组中职业不稳定占比、受伤原因为暴力伤害占比、生活压力大占比、伤前有躯体疾病占比、受伤后未得到赔偿或进行诉讼占比均高于对照组,差异有统计学意义(P<0.05)。多因素logistic回归分析结果显示,职业稳定、受伤原因为其他、得到赔偿或进行诉讼为轻型颅脑损伤后并发脑震荡后综合征的保护因素(OR<1,P<0.05)。结论受伤原因、赔偿或诉讼、职业可能是轻型颅脑损伤后并发脑震荡后综合征的重要影响因素。Objective To analyze the related factors of postconcussional syndrome after mild craniocerebral injury,in order to provide clinical basis for the prevention and treatment of postconcussion syndrome.Methods Clinical data of 48 patients with postconcussional syndrome after mild head injury(case group)and 30 asymptomatic patients(control group)after mild head injury for three months were collected from the Affiliated Hospital of Northwest University for Nationalities from August 2016 to June 2019.Univariate analysis and logistic regression analysis were used to screen the influencing factors of postconcussion syndrome after mild head injury.Results In the case group,the proportion of occupational instability,the proportion of injury caused by violence,the proportion of life stress,the proportion of patients with physical disease before injury,and the proportion of no compensation or litigation after injury were all higher than those in the control group,and the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that occupational stability,other causes of injury,and compensation or litigation were protective factors of postconcussion syndrome after mild head injury(OR<1,P<0.05).Conclusion The cause of injury,compensation or litigation,and occupation may be the important influencing factors of postconcussion syndrome after mild brain injury.

关 键 词：轻型颅脑损伤 脑震荡后综合征 影响因素 

分 类 号：R651.1[医药卫生—外科学]