Preliminary Analysis Of The Epidemiological Investigation Of Craniocerebral Trauma In Henan Province

Aims:To understand the epidemiological characteristics of the diagnosis and treatment of craniocerebral trauma inpatients in henan province,and to provide theoretical basis for the prevention and early treatment of craniocerebral trauma.Methods:Craniocerebral trauma epidemiology investigation in henan province network is built up,and craniocerebral trauma epidemiology survey,35 different grades of henan province collaboration hospital 2016.1.1-2017.12.31 of craniocerebral trauma hospitalized patients admitted in the year two years for multicenter,prospective study,by the doctor strictly accurate fill in craniocerebral trauma epidemiology survey in henan province "",Epidata3.1 for data entry and management,using SPSS21.0 for statistical analysis.Results:In this study,5,575 valid questionnaires were collected,male: 3.62:1,average age(36.4 + 16.8),and high age between 16 and 55 years old.Conclusion:Among the 5,575 patients,4,369 males accounted for 78.37% of the total number,while 12,06 females accounted for 21.63%,and the ratio between males and females was 3.62:1.The minimum age is 1 year old,6 months old,the maximum age is 88 years old,the average age is 36.4 + 16.8 years old,and the high incidence age of craniocerebral trauma is 16-55 years old.Before using ASA score evaluation of patients with craniocerebral trauma injury condition,including ASA Ⅰ level accounted for 76.4%,ASA grade Ⅱ accounted for 17.7%,ASA grade Ⅲ accounted for 4.6%,ASA Ⅳ level of 1.3%.2.0% of craniocerebral trauma patients took anticoagulants before injury,and 2.4% of craniocerebral trauma patients took antiplatelet aggregation drugs before injury.The relationship with the death rate of craniocerebral traumaThe study divided the causes of craniocerebral trauma into five major categories,including traffic accidents,accidental falls,violence/assault/mass violence,suicide,and other sports/recreational activities.Among them,traffic accident injuries accounted for 63.4%,which was the main cause of craniocerebral trauma.Next came falls,at 17.5%.68.2 percent of the injured were on the street/road.At the time of injury,the majority of the patients were pedestrians and cyclists,with 34.6% and 25.5% respectively.13.2% of the patients occurred after drinking.Only 1.1% and 0.6% of the patients wore helmets and seatbelts when injured.After craniocerebral trauma,the primary hospitals were prefecture-level hospitals and county-level hospitals,which were 458.% and 42.6% respectively.The main emergency measures were dressing and hemostasis,accounting for 38.2%.At the time of injury,the majority of the participants were medical workers,accounting for 47.6%,and the proportion of eyewitnesses/passers-by and perpetrators involved in first aid was 6.2% and 4.1% respectively.After craniocerebral trauma CT for the first time found that 44.9% of intracerebral haemorrhage,skull fracture by 37.6%,36.2 cerebral contusion,midline shift,11.3% 7.1% of intracranial pneumatosis,ring pool shrink or disappear by 5.6%,cerebral edema,4.7%,3.8%,brain stem injury cerebral infarction was 1.1%,0.3% water on the brain.In the treatment of craniocerebral trauma,65.1 percent of patients received conservative treatment,and 34.9 percent received surgical treatment.Surgical treatment was mainly based on decompression of bone flap and removal of cranial hematoma,accounting for 37.2% and 30.6% respectively,followed by extraventricular drainage and intracranial pressure monitoring probe implantation,accounting for 18.7% and 9.2% respectively.The severity of craniocerebral trauma was assessed by GCS score,with gcs13-15 accounting for 61.5%,gcs9-12 accounting for 18.1%,and gcs3-8 accounting for 20.4%,mainly with mild craniocerebral injury.After treatment,81.2% of the patients were able to live a normal life,9.1% had mild to moderate disability,2.8% severe disability,2.1% coma(plant survival possibility),and 4.8% mortality.79.7% of the patients came home from the hospital and were able to live on their own.8.3% of patients were transferred to other hospitals for further treatment,while only 0.6% were transferred to rehabilitation hospitals for further treatment.