摘要
目的探讨影响重度颅脑损伤患者在ICU停留时间的相关因素。方法收集入住ICU监护治疗的58例重度闭合性颅脑损伤患者临床资料,从年龄、性别、GCS评分、颅脑损伤类型、手术时机、呼吸功能不全、伤后血糖等方面综合分析多种因素与患者ICU停留时间的关系。结果 GCS评分越低、颅脑损伤类型越严重,合并伤后血糖增高以及呼吸功能不全的患者,ICU停留时间明显延长,并对疾病预后产生不利影响;同样,手术时机的把握对ICU停留时间也存在影响,并有统计学意义。年龄和性别对ICU停留时间无明显影响。结论颅脑损伤的程度、类型、GCS评分、手术时机的选择以及合并伤后血糖增高以及呼吸功能不全,直接影响患者ICU停留时间。
Objective To discuss the influencing factors of the intensive care unit stay following severe craniocerebral trauma. Methods A retrospective study was conducted in fifty-eight patients, who had suffered from severe eraniocerebral injury and been hospitalized in intensive care unit from Oct.2009 to Dct.2010. The influencing factors including age, gender, Glasgow Coma Scale, the type of injury, the timing of operation, respiratory insufficiency, blood glucose after trauma were analyzed. Results The lower Glasgow Coma Scale, the more serious craniocerebral trauma with hyperglycemia and respiratory insufficiency led to the longer ICU stay. The timing of operation also affected ICU stay, but age and gender had no influence on ICU stay. Conclusion The extent and the type of trama, Glasgow Coma Scale, the timing of operation, respiratory insufficiency, blood glucose after trauma affect ICU stay directly.
出处
《安徽医学》
2011年第12期2018-2020,共3页
Anhui Medical Journal
关键词
颅脑损伤
停留时间
因素
分析
Craniocerebral trauma
Stay
Factors
Analysis
