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目的:分析颅脑外伤后迟发型颅内出血的发生率及其危险因素。方法:收集颅脑外伤患者226例,其中,52例合并迟发型颅内出血者作为观察组,另174例无迟发型颅内出血者作为对照组,比较分析两组的临床资料并分析迟发型颅内出血危险因素。结果:男性与年龄≥60岁者的迟发型颅内出血率较高(P<0.05);观察组的GCS评分、PLT以及HGB降低值均与对照组存在显著差异(P<0.05);Logistic相关性分析显示,PLT1、PLT2、HGB降低值以及GCS评分均为颅脑外伤后迟发型颅内出血的高危因素。结论:颅脑外伤后迟发型颅内出血的发生与PLT、HBG以及GCS均具有密切相关性,早期针对性实施干预措施具有重要意义。
Objective: To analyze the incidence of delayed intracranial hemorrhage and its risk factors after traumatic brain injury. Methods: Totally 226 patients with craniocerebral trauma were collected. Among them, 52 patients with delayed intracranial hemorrhage and the other 174 patients without delayed intracranial hemorrhage served as the control group. Clinical data of the two groups were compared and analyzed for delayed intracranial hemorrhage Risk factors. Results: The rate of delayed intracranial hemorrhage was higher in male and those aged ≥60 years (P <0.05). GCS score, PLT and HGB in observation group were significantly different from those in control group (P <0.05); Logistic correlation Analysis showed that PLT1, PLT2, HGB reduction and GCS scores were risk factors for delayed intracranial hemorrhage after traumatic brain injury. Conclusion: The occurrence of delayed intracranial hemorrhage after traumatic brain injury is closely related to PLT, HBG and GCS, and early targeted interventions are of great significance.