[1]王放,范月超,夏俊杰,等.颅脑损伤后脑积水预后的影响因素研究[J].徐州医科大学学报,2020,40(07):492-495.
　Prognostic Factors of Hydrocephalus after Brain Injury[J].Journal of Xuzhou Medical University,2020,40(07):492-495.
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颅脑损伤后脑积水预后的影响因素研究()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
40
期数:
2020年07期
页码:
492-495
栏目:
出版日期:
2020-07-30

文章信息/Info

Title:
Prognostic Factors of Hydrocephalus after Brain Injury
作者:
王放; 范月超; 夏俊杰; 刘耀赛
文献标志码:
A
摘要:
目的：分析颅脑损伤后脑积水患者预后的影响因素。方法：回顾性分析2014年6月至2019年6月徐州医科大学附属医院神经外科收治的200例颅脑损伤后脑积水患者的临床资料。收集患者性别、年龄、颅脑损伤原因、入院时GCS评分、瞳孔反应、SAH、脑室出血、中线移位、颅内压增高、硬膜下积液情况。对选定因素进行单因素分析，根据结果进行多因素Logistic回归分析，探讨颅脑损伤后脑积水患者预后的影响因素。结果：经单因素分析发现，在预后良好与预后不良患者中，性别与颅脑损伤原因差异无统计学意义（P>0.05），而年龄、入院时GCS评分、瞳孔反应、蛛网膜下腔出血、脑室出血、中线移位、颅内压增高、硬膜下积液差异与颅脑损伤后脑积水患者的预后相关（P<0.05）。经多因素分析发现，年龄、入院时GCS评分、脑室出血是影响脑损伤后脑积水预后的独立危险因素。结论：年龄、入院时GCS评分、脑室出血是影响脑损伤后脑积水预后的独立危险因素。对于高龄、术前GCS评分低的患者要予以高度关注并制定详细合理的复查计划。对于合并脑室出血患者积极减轻出血是提升预后的有效途径。
Abstract:
ob＜x＞jective:To investigate the prognostic factors of patients with hydrocephalus after traumatic brain injury.Methods：Retrospective analysis of clinical data of 200 patients with hydrocephalus after traumatic brain injury treated in the affilliated hospital of xuzhou medical university from June 2014 to June 2019. Patients’’’’’’’’ gender, age, causes of craniocerebral injury, GCS score at admission, pupillary response, presence or absence of SAH, ventricular hemorrhage, midline shift, increased intracranial pressure, and subdural effusion were collected. Univariate analysis was performed on selected factors, and multivariate logistic regression analysis was performed ba＜x＞sed on the results to explore the influencing factors of prognosis in patients with hydrocephalus after traumatic brain injury.Results：Univariate analysis revealed that there was no significant difference between gender and causes of craniocerebral injury in patients with good prognosis and poor prognosis (P> 0.05).Differences in age, GCS score at admission, pupil response, SAH, intraventricular hemorrhage, midline shift, increased intracranial pressure, and subdural effusion were related to the prognosis of patients with hydrocephalus after head injury (P <0.05). Multivariate analysis found that age, GCS score at admission, and intraventricular hemorrhage were independent risk factors affecting the prognosis of hydrocephalus after brain injury.Conclusions:Age, GCS score on admission and intraventricular hemorrhage were independent risk factors for the prognosis of Hydrocephalus after brain injury. For the elderly, preoperative patients with low GCS score should be highly concerned and make a detailed and reasonable review plan. It is an effective way to improve the prognosis of patients with intraventricular hemorrhage.
更新日期/Last Update: 2020-07-29