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| 华东六省一市颅脑创伤合并颅面损伤住院患者调查 | |
| 引用本文： | 胡锦,姚海军,刘永,奚才华,谢叻,吴巧娇,付朝伟,滕良珠,汪业汉,傅先明,惠国桢,傅震,杨卫忠,石松生,吕世亭,刘伟国,徐庚生,洪涛,周良辅. 华东六省一市颅脑创伤合并颅面损伤住院患者调查[J]. 中华神经外科疾病研究杂志, 2009, 8(1): 47-52 |
| 作者姓名： | 胡锦 姚海军 刘永 奚才华 谢叻 吴巧娇 付朝伟 滕良珠 汪业汉 傅先明 惠国桢 傅震 杨卫忠 石松生 吕世亭 刘伟国 徐庚生 洪涛 周良辅 |
| 作者单位： | 1. 复旦大学附属华山医院神经外科,上海,200040 2. 上海交通大学附属第六人民医院急诊创伤中心,上海市急性创伤急救中心,上海,200233 3. 上海交通大学国家数字化制造技术中心,上海,200030 4. 复旦大学公共卫生学院,上海,200092 5. 山东省立医院神经外科,山东,济南,250022 6. 安徽省立医院神经外科,安徽,合肥,230001 7. 苏州大学附属第一医院神经外科,江苏,苏州,215006 8. 南京医科大学附属第一医院神经外科,江苏,南京,110001 9. 福建医科大学附属协和医院神经外科,福建,福州,350001 10. 浙江大学附属第一医院神经外科,浙江,杭州,310003 11. 江西医学院附属第一医院神经外科,江西,南昌,330006 |
| 基金项目： | 国家自然科学基金，GM联合基金 |
| 摘 要： | 目的掌握华东六省一市颅脑创伤合并颅面损伤住院患者临床流行病学特点。方法从《2004年华东六省一市颅脑创伤住院患者》数据库中整群抽取合并颌面损伤患者,用SPSS13.0统计软件包分析。结果15611例颅脑创伤患者中合并颌面损伤患者占40.37%,男女比3.59：1,平均年龄（38.70±16.93）岁,17～58岁患者占所有年龄组的80.04%,各年龄组上性别对于颅脑创伤合并颅面损伤的发病有统计学意义（P〈0.01）。主要受害者是农民（46.11%）、工人（28.07%）、学生及儿童（9.08%）,文化程度以中学（55.16%）、小学（29.50%）和文盲（6.22%）最多。公路（67.22%）、公共场所（11.35%）和矿山工地（9.46%）是主要发生地点;主要致伤原因是车祸伤（66.20%）、击打伤（12.20%）和高处坠落伤（10.71%）,而且在各年龄组中车祸伤都是主要致伤原因（P〈0.01）。颅脑创伤合并颅面损伤较其他颅脑创伤病情重,合并伤多,预后差。结论颅颌面损伤是颅脑创伤中最常见的合并症,多为中青年男性,且文化层次相对较低,这类患者较其他损伤病情重,预后差,在检查、诊断和治疗上需要各学科通力合作。 |
| 关 键 词： | 颅脑创伤 颅颌面损伤 流行病学 |
An investigation of hospitalized patients with traumatic brain injury associated with facies cranii injury in eastern China |
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| HU Jin,YAO Haijun,LIU Yong,XI Caihua,XIE Le,WU Qiaojiao,FU Chaowei,TENG Liangzhu,WANG Yehan,FU Xianming,HUI Guozhen,FU Zhen,YANG Weizhong,SHI Songsheng,LV Shiting,LIU Weiguo,XU Gengsheng,HONG Tao,ZHOU Liangfu. An investigation of hospitalized patients with traumatic brain injury associated with facies cranii injury in eastern China[J]. Chinese Journal of Neurosurgical Disease Research, 2009, 8(1): 47-52 | |
| Authors: | HU Jin YAO Haijun LIU Yong XI Caihua XIE Le WU Qiaojiao FU Chaowei TENG Liangzhu WANG Yehan FU Xianming HUI Guozhen FU Zhen YANG Weizhong SHI Songsheng LV Shiting LIU Weiguo XU Gengsheng HONG Tao ZHOU Liangfu |
| Affiliation: | 1. Deportment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai 200040; 2.Emergency Trauma Center, Shanghai No. 6 Hospital Affiliated to Shanghai Jiaotong University,Shanghai Emergency Trauma Center, Shanghai 200233; 3.National Digital Manufacturing Technology Center, Shanghai 200030; 4.School of Public Health, Fudan University, Shanghai 200092; 5.Department of Neurosurgery,Shandong Provincial Hospital, Jinan 250022; 6.Department of Neurosurgery,Anhni Provincial Hospital, Hefei 230001 ; 7.Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou 215036; 8.Department of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 110001; 9.Department of Neurosurgery ,The Affiliated Union Hosphal of Fujian Medical University, Fuzhou 350001; l0.Department of Neurosurgery, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou 310003; 11. Department of Neurosurgery, The First Affiliated Hospital of Jiangxi Medical College, Nanchang 330006, China) |
| Abstract: | Objective To investigate the clinical epidemiology of hospitalized patients with traumatic brain injury and facies cranii in eastern China.Methods The patients with facies cranii were drew-off from the ＂An investigation of hospitalized patients with traumatic brain injury in eastern China in 2004＂ database and all the data were analyzed with SPSS 13.0.Results Among 15611 traumatic brain injury patients,40.37% cases were associated with facies cranii with a ratio of 3.59：1 in male and female and the average age was 38.70 ±16.93 years old.Patients between 17 and 58 years old accounted for 80.04% of all the cases.In different age groups,gender played a significant role in traumatic brain injury and facies cranii injury（P〈0.01）.Peasants（46.11%）,workers（28.07%）,students and children（9.08%）were the major victims.Concerning the educational level,most people had got little education（middle school 55.16%;elementary school,29.50%）or were illiteracy（6.22%）.Highways（67.22%）,public places（11.35%）,and mineral deposits（9.46%）were the main accident spots.The major reasons of injury were road accidents（66.20%）,stroke（12.20%）and fall from high places（10.71%）,with road accident as the major reason in every age group（P〈0.01）.Traumatic brain injury associated with facies cranii injury may cause more serious condition and worse prognosis compared with other injuries.Conclusion Facies cranii injury is the most common complication in braininjury,and it mostly occur among uneducated young and middle-aged people.Due to the worse condition,the patients need more careful examination,diagnosis and treatment. |
| Keywords: | Traumatic brain injury（TBI） Facies cranii injury Epidemiology |
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