检验医学与临床2016，Vol.13Issue(13)：1786-1787,1791,3.DOI:10.3969/j.issn.1672-9455.2016.13.016
急性外伤性硬膜下血肿患者术后生存状况研究
Survival status of patients with acute traumatic subdural hematoma
程勇 1秦加新 1李刚 1李强1
作者信息
- 1. 湖北医药学院附属随州医院神经外科，湖北随州441300
- 折叠
摘要
Abstract
Objective To investigate the survival status of patients with acute traumatic subdural hematoma .Methods A total of 90 patients with acute traumatic subdural hematoma treated in the hospital were selected from January 2012 to May 2015 .Ac‐cording to the postoperative survival situation ,all the patients were divided into survival group and death group .The prognostic in‐dexes were evaluated .Preoperative factors included patient age ,sex ,Glasgow Coma Scale (GCS) score ,with or without preoperative cerebral hernia and postoperative factors included brain swelling ,brain wave classification .Intraoperative factors included whether the patients complicated with subarachnoid hematoma hemorrhage ,intraoperative amount of bleeding ,whether the patients had clear point or not .The score of anxiety and depression were compared between the two groups .Results There was significant difference between the two groups in age ,GCS score ,the rate of herniation ,the rank of brain pulsation (P<0 .05) .The score of self‐rating anxiety scale (SAS) and the score of self‐rating depression scale (SDS) in the survival group were significantly lower than that of the death group ,and the differences were statistical significant (P<0 .05) .Logistic regression analysis showed that patients′age (OR=2 .942 ,P= 0 .031) ,GCS score (OR= 3 .522 ,P= 0 .020) ,whether the patients had herniation or not (OR= 1 .933 ,P=0 .043) ,brain pulsation (OR=1 .782 ,P=0 .005) were the important factors which influenced the prognosis .Conclusion Age ,pre‐operative GCS score ,whether the patients companied with preoperative herniation ,degree of recovery of brain pulsation influence the prognosis of the patients with acute traumatic subdural hematoma .关键词
硬膜下血肿/生存状况/预后Key words
subdural hematoma/living condition/prognosis引用本文复制引用
程勇,秦加新,李刚,李强..急性外伤性硬膜下血肿患者术后生存状况研究[J].检验医学与临床,2016,13(13):1786-1787,1791,3.
