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重型颅脑损伤后发生长期意识障碍的相关因素分析

  • 饶斌,查昀,钟蕾,姚益群

* 通信作者: 饶斌, 单位:黄石市第五医院

摘要

【摘要】
目的:分析重型颅脑损伤后长期意识障碍患者的影响因素。

方法:资料选取2014年10月-2016年10月收治的120例重型颅脑损伤后发生意识障碍2周以上患者进行清醒预测,详细分析其影响因素,主要针对其患者年龄、性别、发病机制、是否手术以及诱发体感电位(SEP)和预测清醒时间等进行详细分析,采用诊断标准为伤者6个月后是否清醒和6个月后患者GOS评分进行判定。

结果:患者SEP分级越高,患者患病后清醒概率越小,说明患者清醒及预后与患者SEP分级呈正向关系。

结论:对于重型颅脑损伤且意识障碍患者采用SEP分级可更为精准、客观的进行有效评估和预测,有助于进一步治疗。

关键词:【关键词】重型颅脑损伤;意识障碍;长期;影响因素

ABSTRACT

【摘要】目的:分析重型颅脑损伤后长期意识障碍患者的影响因素。方法:资料选取2014年10月-2016年10月收治的120例重型颅脑损伤后发生意识障碍2周以上患者进行清醒预测,详细分析其影响因素,主要针对其患者年龄、性别、发病机制、是否手术以及诱发体感电位(SEP)和预测清醒时间等进行详细分析,采用诊断标准为伤者6个月后是否清醒和6个月后患者GOS评分进行判定。结果:患者SEP分级越高,患者患病后清醒概率越小,说明患者清醒及预后与患者SEP分级呈正向关系。结论:对于重型颅脑损伤且意识障碍患者采用SEP分级可更为精准、客观的进行有效评估和预测,有助于进一步治疗。 【关键词】重型颅脑损伤;意识障碍;长期;影响因素 Analysis of related factors of long-term unconsciousness after severe traumatic brain injury Bin Rao① Yun Zha① Lei Zhong① Yiqun Yao② (Huangshi Fifth Hospital Hubei Huangshi 420204① Huangshi Central Hospital Hubei Huangshi 435000②) [Abstract]
Objective: to analyze the influencing factors of long-term unconsciousness in patients with severe traumatic brain injury.

Methods: from October 2014 -2016 year in October 120 cases of severe craniocerebral injury occurred after 2 weeks in patients with conscious disturbance conscious prediction, a detailed analysis of its influencing factors, mainly according to the age and sex of the patients, pathogenesis, whether surgery and somatosensory evoked potential (SEP) are analyzed in detail, and predict the time of awakening. The diagnostic criteria for the injured after 6 months and 6 months after clear whether patients with GOS were determined.

Results: the higher the SEP classification, the smaller the probability of sober patients, indicating that the patient's consciousness and prognosis is positively related to the patient's SEP classification.

Conclusion  : for severe traumatic brain injury and consciousness disorder patients, the SEP classification can be more accurate and objective for effective evaluation and prediction, which is helpful for further treatment.

Key words: [Key words] severe craniocerebral trauma; consciousness disorder; long term; influencing factors

引用本文 / How to Cite This Article

饶斌,查昀,钟蕾,姚益群.重型颅脑损伤后发生长期意识障碍的相关因素分析[J]. 国际精神病学杂志, , (): -

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