神经外科颅脑损伤患者预后影响因素研究.docVIP

精品论文 参考文献 神经外科颅脑损伤患者预后影响因素研究 叶黎明 　　名山区人民医院（外二科） 四川省雅安市 625100 　　摘要：目的：探究神经外科颅脑损伤患者预后影响因素。方法：选取2013年1月～2015年1月间我院门诊收治的110例颅脑损伤患者作为研究对象。在患者出院后，对患者进行电话跟踪统计，并且对患者定期进行检查。通过调查分析，找出神经外科颅脑损伤患者的预后影响因素。结果：在本次的调查研究中，颅脑损伤患者预后恢复较好的患者比率为9.10%，颅脑损伤患者预后恢复一般的比率为45.45%，颅脑损伤患者预后恢复较差的比率为45.45%，患者预后良好率为54.55%。颅脑损伤患者预后出现术后感染情况的比率为7.28%，患者预后出现凝血功能异常的比率为10.00%，患者预后出现血钠水平异常的比率为13.64%，患者预后出现脑干损伤的比率为，11.82%，患者预后出现合并伤的比率为19.09%。结论：神经外科颅脑损伤患者预后受到血钠水平、脑干损伤和合并伤等多方面因素影响，需要针对性的改善患者的预后情况。 　　关键词：神经外科；颅脑损伤；预后影响因素 　　Abstract：objective：to explore the neural surgical outcomes in patients with craniocerebral injury factors.Selection methods：from January 2014 to January 2014 between the treated in outpatients of 110 craniocerebral injury patients as the research object.After discharge from hospital，the patients with phone tracking statistics，and regularly check on the patients.Through the investigation and analysis，find out the factors affecting the prognosis of patients with craniocerebral injury neurosurgery.Results：in this study，the prognosis of patients with craniocerebral injury to restore good patient ratio was 9.10%，the prognosis of patients with craniocerebral injury recovery general ratio of 45.45%，with poor prognosis of patients with craniocerebral injury recovery ratio is 45.45%，the prognosis of patients with good rate was 54.55%.The prognosis of patients with craniocerebral injury in postoperative infection rate was 7.28%，the prognosis of patients of coagulant function abnormality rate was 10.00%，and the prognosis of patients with abnormal blood sodium level is 13.64%，the ratio of ratio of prognosis in patients with brain stem injury，11.82%，the ratio of prognosis in patients with combined injuries was 19.09%.Conclusion：the nerve surgical outcomes in patients with craniocerebral injury by serum sodium level，the brain stem injury and combined injury factors，need to be targeted to improve the prognosis of patients with conditions. 　　Key words：neurosurgery；Craniocerebral injury；Prognostic factor