2004~2013年昆明医科大学第一附属医院创伤性脑损伤流行病学特征调查  

Epidemiological Characteristics of Traumatic Brain Injury in the First Affiliated Hospital of Kunming Medical University from 2004 to 2013

作　　者：蒋鸿雁 杨凤 曹艳 李恒希 钱传云[4] 吴海鹰[4] 李坪[2] JIANG Hongyan;YANG Feng;CAO Yan;LI Hengxi;QIAN Chuanyun;WU Haiying;LI Ping(Dept.of Pathology,Suining Central Hospital,Suining Sichuan 629000;Dept.of Human Anatomy,Histology and Embryology,Kunming Medical University,Kunming Yunnan 650050,China;Intensive Care Unit of Internal Medicine,Yunnan First People’s Hospital,Kunming Yunnan 650032,China;Dept.of Emergency Medicine,First Affiliated Hospital,Kunming Yunnan 650032,China)

机构地区：[1]遂宁市中心医院病理科,四川遂宁629000 [2]昆明医科大学人体解剖学与组织胚胎学系,云南昆明650500 [3]云南省第一人民医院内科重症监护室,云南昆明650032 [4]昆明医科大学第一附属医院急诊医学部,云南昆明650032

出　　处：《昆明医科大学学报》2022年第4期12-18,共7页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(82060241,81960817);云南省创新团队基金资助项目(2019HC014);云南省科技厅-昆明医科大学应用基础研究联合专项重点基金资助项目(202101AY070001-002)。

摘　　要：目的探讨创伤性脑损伤的流行病学特征,为疾病诊疗提供依据,提高创伤性脑损伤的综合救治。方法采取回顾性研究的方法,查阅昆明医科大学第一附属医院病案室创伤性脑损伤患者,在院救治的一系列病例资料共3552例,其中2044例为昆明医科大学第一附属医院住院患者,1508例为外院转入患者,主要收集和进行统计学分析的资料有性别、年龄、职业、创伤原因、治疗方法及预后。结果男性患者占75.08%,女性患者占24.91%,男患者与女患者所占比是3.01∶1,且各个年龄段的TBI男性明显高于女性,差异有统计学意义(P<0.05)。其中主要为中年患者(41.66±15.72)岁;农民工是发生创伤性脑损伤最多的职业;创伤发生原因排名前3的是车祸伤45.27%、高处坠落伤18.92%与跌倒伤17.57%;急性颅脑损伤是最主要的致死因素。结论所收集的云南部分地区的病例资料分析提示:创伤性脑损伤患者主要以从事体力活动的中年男性为主,发病原因居于前3的依次是车祸伤、坠落伤与跌倒伤,减少TBI的发生和提高TBI的紧急救治成为了急危重症疾病的重点。Objective To explore the epidemiological characteristics of traumatic brain injury,to provide a basis for diagnosis and treatment of the disease,and to improve the comprehensive treatment of traumatic brain injury.Methods A retrospective research method was adopted to retrieve a series of case data of patients with traumatic brain injury in the medical record department of the First Affiliated Hospital of Kunming Medical University in Yunnan province,covering 3552 patients including 2044 inpatients of the First Affiliated Hospital of Kunming Medical University and 1508 inpatients transferred from other hospitals.Data on gender,age,occupation,cause of trauma,treatment method and prognosis were collected and analyzed.Results Male patients accounted for 75.08%,while female patients accounted for 24.91%,and the ratio of male patients to female patients was3.01∶1.TBI of all ages was significantly higher in males than in females,and the difference was statistically significant(P<0.05).Majority of them were middle-aged patients(41.66±15.72)years old.Migrant workers are the occupation with the most traumatic brain injury.The top 3 causes of trauma were car accident injury(45.27%),high fall injury(18.92%)and fall injury(17.57%).Acute brain injury is the leading cause of death.Conclusion The patients with traumatic brain injury in Yunnan province are mainly middle-aged men engaged in physical activity.The top three causes are car accident injuries,high fall injuries and fall injuries.Reducing the occurrence of TBI and improving the emergency treatment of TBI are the focus of acute and critical diseases.

关 键 词：颅脑创伤 流行病学分析 预后 

分 类 号：R651.15[医药卫生—外科学]