论文部分内容阅读
目的回顾性分析2009年至2014年罗定市人民医院重型颅脑损伤(SCCI)患者的临床救治经验,探讨有效的治疗措施与方法,以改善患者预后。方法分析罗定市人民医院收治的532例SCCI患者的致伤原因、临床特征、诊断方法、抢救措施、手术方式及预后状,根据患者预后情况将患者分为预后良好组与预后不良组,分析两组在治疗措施花费时间、预后评分状况以及神经缺损评分的差异。结果对患者基本资料进行分析,致伤原因中交通事故(62.4%)占比最大,损伤类型中硬膜下血肿(64.1%)占比最大,并发症情况骨折和脏器损伤(16.7%)占比最大;预后良好组各项治疗措施所花费的时间远远少于预后不良组;治疗前两组患者神经功能缺损情况比较差异未见统计学意义,治疗后预后不良组的神经功能缺损评分显著高于预后良好组(P<0.05);分析患者各项因素与预后情况的相关性,结果发现各项指标均是导致预后不良的危险因素,与患者预后情况存在明显的负相关。结论重型颅脑损伤早期对患者进行早期救治的效果十分显著,能够有效降低患者的病死率,改善患者预后。
Objective To retrospectively analyze the clinical experience of patients with severe craniocerebral injury (SCCI) from 2009 to 2014 in Luoding People’s Hospital and explore effective treatment measures and methods to improve the prognosis of patients. Methods The causes of injury, clinical features, diagnostic methods, rescue measures, surgical methods and prognosis of 532 SCCI patients admitted to Luoding People’s Hospital were analyzed. According to the prognosis of patients, the patients were divided into good prognosis group and poor prognosis group. The time spent on treatment, the status of the prognosis score, and the differences in neurological deficit scores between the two groups. Results The basic information of the patients was analyzed. Among the causes of injury, 62.4% had the highest proportion of traffic accidents, and 64.1% of the lesions had the largest proportion of injuries. Complications of fracture and organ injury accounted for 16.7% Compared with the maximum; good prognosis group of the treatment time spent far less than the poor prognosis group; before treatment, two groups of patients with neurological deficit was no significant difference between the poor prognosis group after treatment neurological deficit score significantly (P <0.05). The correlation between various factors and prognosis was analyzed. The results showed that each index was the risk factor of poor prognosis, which had a significant negative correlation with the prognosis of patients. Conclusion Early treatment of severe craniocerebral injury in patients with early treatment effect is very significant, can effectively reduce the patient’s mortality and improve patient prognosis.