摘要
目的 为创伤性颅脑损伤(TBI)住院患者的诊疗提供临床依据,并对患者的预后进行尽早判断,以减少并发症和病死率。方法 回顾性分析内蒙古自治区人民医院神经外科2018年1月—2022年12月收治的2 115例TBI患者信息,主要收集患者的社会人口特征,包括年龄、性别、职业,住院时间分布、入院时格拉斯哥昏迷评分(GCS)、受伤原因、治疗方法以及出院时格拉斯哥预后评分(GOS)等特点。结果 2 115例TBI患者中,男性占72.86%,女性占27.14%,各年龄段男性患者均多于女性,差异有统计学意义(P<0.05);农民是发生颅脑损伤最多的职业;主要受伤原因是交通事故(44.07%),其次是跌倒伤(28.18%);从住院月份分析,6月—10月是颅脑损伤发生的高峰期。结论 呼和浩特市TBI的发生在年龄、性别、受伤原因、时间分布上具有一定的规律,针对不同年龄段人群、不同职业特点及颅脑损伤发生的高峰时段,因地制宜地采取相应的预防及干预措施,以期降低呼和浩特颅脑损伤的发生率及病死率,提高颅脑损伤的救治效率和水平。
Objective To provide clinical basis for the diagnosis and treatment of patients with traumatic brain injury(TBI),enabling early prognosis judgments,reducing complications and mortality rates.Methods The clinical data of 2 115 patients with TBI admitted to the Department of Neurosurgery,Inner Mongolia Autonomous Region People's Hospital from January 2018 to December 2022 were analyzed retrospectively.The study mainly collected demographic characteristics of the patients,including age,gender,occupation,distribution of hospitalization time,Glasgow coma scale(GCS) upon admission,cause of injury,treatment methods,and Glasgow outcome scale(GOS) upon discharge.Results Of the 2 115 patients with TBI,72.86% were male and 27.14% were female.There were more male patients than female patients across all age groups,with a statistically significant difference(P<0.05).Farmers were the occupation with the most brain injuries.The primary cause of injury was traffic accident(44.07%),followed by fall related injury(28.18%).According to the analysis of hospitalization months,June to October was the peak period of brain injury occurrence.Conclusions TBI incidence in Hohhot exhibits certain patterns across age,gender,cause of injury,and temporal distribution.Corresponding prevention and intervention measures should be taken according to different age groups,occupational characteristics,and peak periods of brain injury occurrence,in order to reduce the incidence and mortality rate of brain injury in Hohhot,improve the efficiency and level of treatment for traumatic brain injury.
作者
刘玮珉
张瑞剑
韩志桐
孙鹏
邢栋
杨文博
张琳
熊佳宝
王诗秋
LIU Weimin;ZHANG Ruijian;HAN Zhitong;SUN Peng;XING Dong;YANG Wenbo;ZHANG Lin;XIONG Jiabao;WANG Shiqiu(Inner Mongolia Medical University Inner Mongolia Clinical Medical College,010059 Hohhot,China)
出处
《临床神经外科杂志》
2024年第4期377-383,共7页
Journal of Clinical Neurosurgery
基金
内蒙古医科大学联合项目(YKD2023LH086)。
关键词
颅脑损伤
流行病学分析
回顾分析
预后
traumatic brain injury
epidemiology analysis
retrospective analysis
prognosis
