成人重型颅脑损伤患者肢体运动功能恢复的影响因素  

Influencing factors on limb motor function in adult patients with severe craniocerebral injury

作　　者：黄小龙 张晓强 黄浩[1] 胡齐 孙凌云 吕光淘 HUANG Xiaolong;ZHANG Xiaoqiang;HUANG Hao;HU Qi;SUN Lingyun;LYU Guangtao(Guang’an Hospital,West China Hospital,Sichuan University/Guang’an People’s Hospital,Guang’an 638001,China)

机构地区：[1]四川大学华西医院广安医院(广安市人民医院),四川广安638001

出　　处：《中国实用神经疾病杂志》2023年第6期687-692,共6页Chinese Journal of Practical Nervous Diseases

基　　金：四川省转移支付项目(编号:2018SZYZF0006)。

摘　　要：目的 探讨成人重型颅脑损伤患者肢体运动功能的影响因素。方法 选取广安市人民医院2017-10—2022-01收治的162例成人重型颅脑损伤患者,回顾分析其出院时肢体运动功能障碍的发生率,对患者的基线资料、损伤类型、意识障碍时间、住院时间、康复治疗介入时间采用Logistic回归法分析,探讨其出院3个月时肢体运动功能障碍的相关影响因素。结果 162例患者出院3个月时肢体运动功能障碍31例,发生率为19.14%;单因素分析显示,年龄>50岁、GCS评分6~8分、运动功能区损伤、脑疝、意识障碍时间>10 d、康复治疗介入时间>30 d患者的肢体运动功能障碍发生率明显高于相应对立因素患者(P<0.05);多因素分析显示,年龄>50岁、GCS评分6~8分、运动功能区损伤、脑疝、意识障碍时间>10d、康复治疗介入时间>30 d是重型颅脑损伤患者肢体运动功能的独立危险因素。结论 成人重型颅脑损伤患者肢体运动功能障碍有较高的发生率,针对相关的独立影响因素进行干预,对于改善患者预后具有重要价值。Objective To investigate the influencing factors of limb motor function in adult patients with severe craniocerebral injury.Methods The data of 162 adult patients with severe craniocerebral injury admitted to Guang’an People’s Hospital from October 2017 to January 2022 were selected,and the incidence of limb motor dysfunction at discharge was retrospectively analyzed.Logistic regression analysis was used to analyze the patient’s baseline data,injury type,time of disturbance of consciousness,hospitalization time,and rehabilitation intervention time,and the related influencing factors of limb motor dysfunction at 3 months after discharge were analyzed.Results Thity-one of 162 patients had limb motor dysfunction 3 months after discharge,with an incidence of 19.14%.Univariate analysis showed that,the incidence of limb motor dysfunction was significantly higher in patients with age>50 years old,GCS score 6-8,motor functional area injury,cerebral hernia,time of consciousness disturbance>10 days,and time of rehabilitation intervention>30 days(P<0.05).The results of multivariate analysis showed that,age>50 years old,GCS score 6-8,motor function injury,cerebral hernia,time of consciousness disturbance>10 days,rehabilitation intervention time>30 days were independent risk factors for limb motor function in patients with severe craniocerebral injury.Conclusion Adult patients with severe craniocerebral injury have a high incidence of limb motor dysfunction,and intervening on related independent influencing factors is of great value in improving the prognosis of patients.

关 键 词：重型颅脑损伤 成人 肢体运动功能 影响因素 预后 

分 类 号：R651.15[医药卫生—外科学]