Clinical Analysis Of Related Factors Affecting The Prognosis Of Patients With Traumatic Brain Injury

Objective:Traumatic brain injury is the most serious disabling nervous system disease.Because of its high incidence,prevalence,disability rate,it has become the focus of trauma treatment.As the upper center of the human body,the brain will affect the human cognition or perform functions If the injury is too heavy and not treated in time,it will easily cause irreversible damage to the nerve function,leading to adverse outcomes.This article explores the factors that influence the prognosis of patients with traumatic brain injury at 6 months after injury,and aims to provide effective evidence-based treatment for the clinic.It is expected to intervene early on controllable factors,reduce social costs as much as possible,and improve the quality of life of patients.It is expected that an easy-to-obtain observational indicator can be provided to establish a relevant profgnostic prediction model.Methods:A total of 147 patients with craniocerebral trauma who were admitted to the First Hospital of Shanxi Medical University from June 2017 to June 2018 were enrolled.The clinical data of all patients were collected.The primary end point was the prognosis of patients after 6 months of injury.Telephone follow-up.According to the results of the follow-up endpoint,the Ezesgow Prognostic Score(GOS)was divided into a good prognosis group(4-5 points)and a poor prognosis group(1-3).21 factor that may have an impact(gender,age,injury mechanism,admission GCS score,cerebral palsy,combined long bone fractures,combined underlying disease,surgery,secondary surgery,injury to visit time,brain contusion,dura mater Lower hematoma,epidural hematoma,hyperbaric oxyg;en,and laboratory parameters such as white blood cells,hemoglobin,platelet count,prothrombin time,activated prothrombin time,D-2 mer,fibrinogen,using SPSS software for single factor Screening and multivariate logistic regression analysis were used to establish a probable predictive model.Results:At the end of follow-up,111 patients(75.5%)had a good prognosis and 36 patients(24.5%)had a poor prognosis.Univariate analysis showed age,cerebral palsy,combined long bone fractures,surgery,secondary surgery,injury to admission time,GCS score,hyperbaric oxygen,and laboratory parameters(hemoglobin,platelet count,coagulation The difference between zymogen time,D-2 mer,fibrinogen in the prognosis and poor prognosis group was statistically significant(P<0.05).Multivariate logistic regression analysis showed that age,injury to admission time,GCS score,combined with long bone fractures,hyperbaric oxygen,hemoglobin,and platelet count were independent risk factors for long-term prognosis in patients with traumatic brain injury(P<0.05).There was no significant difference in gender,injury mechanism,white blood cell,activated thromboplastin time,combined underlying disease,subdural hematoma,and epidural hematoma(P>0.05).ConclusionsAge,injury to treatment time,GCS score,whether combined with long bone fractures,hyperbaric oxygen therapy,hemoglobin,and platelet count were the faectors that affected the prognosis of patients with traumatic brain injury at 6 months after injury.Among them,age≥60 years old,inj ury to treatment time>4 hours,combined with long bone fractures of the extremities,low GCS score,low hermoglobin volume,low platelet count,no hyperbaric oxygen therapy cain lead to a poor prognosis risk in patiente with traumatic brain injury 6 months after injury increase.