影响急性颅脑损伤患者预后的相关因素分析

弓开弦

（蒲城县医院，陕西 渭南，715500）

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摘要：

目的 分析影响急性颅脑损伤预后的相关因素。方法 选取于我院就诊的382例急性颅脑损伤患者为研究对象，从年龄、损伤类型、血糖、GOS评分、GCS评分、治疗方式等方面分析各因素与患者预后的关系。结果 382例患者中，死亡109例，死亡率为28.53%。单纯性脑挫伤、挫伤伴蛛网膜下出血、挫裂伤并多发性脑颅内血肿、弥漫性脑肿胀、脑干损伤死亡率较高。GCS评分越低、死亡率越高（P<0.05）；患者年龄≧60 岁、血糖>17.1 nmol/L、施行保守治疗的组内死亡率及死亡率明显高于患者年龄<60岁、血糖≦17.1 nmol/L、施行手术方法治疗的患者（P<0.05）。结论 急性颅脑损伤患者的年龄及颅脑损程度是影响预后的 直接因素，GCS评分、血糖等症状均可作为患者预后的评估指标。

关键词：颅脑损伤；预后；GCS 评分

中图分类号：R651.16文献标志码：A文章编号：2096-1413(2017)14-0012-02

Related factors analysis on prognosis in patients with acute craniocerebral injury
GONG Kai-xian
(Pucheng County Hospital, Weinan 715500, China)

ABSTRACT: Objective To analyze the related factors on prognosis in patients with acute craniocerebral injury. Methods A total of 382 cases of acute craniocerebral injury patients admitted in our hospital were selected as the study objects. The related factors on prognosis were analyzed from age, injury classification, blood glucose, GOS score, GCS score, treatment method and so on. Results In 382 acute craniocerebral injury patients, 109 cases were date, the mortality was 28.53%. Simple cerebral contusion, cerebral contusion combined with subarachnoid hemorrhage, cerebral contusion combined with multiple intracranial hematomas, diffuse brain swelling and bralnstem injury had high mortality. The higher GCS score of the patients were the higher mortality it had (P<0.05). Patients aged over 60 years, the blood glucose over 17.1 nmol/L and treated with conservative treatment had higher mortality than that of the patients aged below 60 years, the blood glucose less than 17.1 nmol/L and treated with surgical treatment (P<0.05). Conclusion The age and the type of trauma are the direct influence factors of the acute craniocerebral injury patients, the GCS score, blood glucose symptoms of the patients can be used as the prognosis evaluation index.
KEYWORDS: acute craniocerebral injury; prognosis; GCS score

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