摘要
Abstract
Objective To investigate influencing factors on the prognosis of severe craniocerebral injury. Methods A retrospective analysis of the clinical data of 64 patients with severe craniocerebral injury in this hospital from January 2008 to De-cember 2013. They were divided into the unfavourable prognosis group (30 cases) and the favourable prognosis group (34 cases) according to GOS in the three months after injury. The enrollment time,blood glucose,ISS,SpO2,SBP and GCS of the two groups were observed. It adopted multi-factor Logistic regression analysis method to analyze and compare potential relevant factors influ-cing prognosis. Results Comparing with the favourable prognosis group ,the patients in the unfavourable prognosis group was longer in hospitalized time,higher in blood glucose levels and ISS score,but lower in blood oxygen saturation,systolic blood pres-sure and GCS score. The differences were statistically significant (P<0.05). Cerebral hernia,CT line moving degree,ring pool shape,complications and basic diseases were independent relevant factors affecting the prognosis of patients with severe cranio-cerebral injury. Conclusion For the patients with severe craniocerebral injury ,establishing rapid and effective a treatment green channel,fully assessing the injury status of the patients,monitoring patient′s condition closely,treating craniocerebral injury and its complications positively as early as possible are beneficial to preventing the complications ,which make patients obtain effective treatment. It also accelerates the function recovery ,improves prognosis and promotes survival qulity.关键词
颅脑损伤/格拉斯哥昏迷量表/回顾性研究/脑疝/预后/手术后并发症Key words
Craniocerebral trauma/Glasgow coma scale/Retrospective studies/Encephalocele/Prognosis/Postoperative complications
