目的建立我国颅脑创伤资料库,并分析影响急性颅脑创伤患者预后的相关因素。方法2008年12月至2012年12月47家医院11937例急性颅脑创伤患者资料,分析患者的性别、年龄、致伤原因、GCS评分、ICP和脑疝对患者病死率及不良预后率(死亡、植物生存、重残)的影响。结果除男性与女性病死率无明显统计学差异外,患者年龄、致伤原因、GCS评分和颅内压值与病死率和预后不良率均有明显统计学差异。结论我国颅脑创伤资料库的建立为客观了解我国颅脑创伤治疗现状、提高我国颅脑创伤救治水平提供了客观依据。
Objective To set up Chinese Head Trauma Data Bank and analyze the factors which may be related to the prognosis of patient with acute head trauma. Methods 11 937 cases with acute head trauma were enrolled Chinese Head Trauma Data Bank from 47 hospitals from December 2008 to December 2012, and all causes including gender, age, causes of trauma, GCS, ICP and cerebral herniation were analyzed to prognosis of patients. Results All factors were significantly related to the mortality and morbidity of patients except the gender. Conclusions Chinese Head Trauma Data Bank is established and offers the evidence of current status of head trauma in China, which provides the evidence for improving the outcome of patients with head trauma.