Risk Factors Related To Traumatic Hydrocephalus Analysis

Objective: Posttraumatic hydrocephalus is one of the traumatic brain injury majorcomplications, which seriously affect the patient’s prognosis and quality of life,causing serious social and economic burden on individuals.In this thesis, the incidenceof hydrocephalus after TBI and its influencing factors analysis, risk factors and seek tointervene and control, for the prevention of disease hydrocephalus after TBI provides atheoretical basis for hair.Methods:240cases of brain injury in Wannan Medical College Hospital neurosurgeryYijishan admitted qualifying.The clinical data were retrospectively analyzed fromJanuary1,2009to January31,2014. The patient’s gender, age, admission GlasgowComa Scale,subarachnoid hemorrhage, intracranial bleeding site (epidural, subduraland intracerebral), surgical approach (whether to remove bone) relationship withhydrocephalus univariate and non-conditional Logistic stepwise multiple regressionanalysis using SPSSl6.0software for statistical analysis.Results:46cases (19.17%) occurred hydrocephalus in240cases,194cases(81.83%) don’t concurrent hydrocephalus. Basic data of46cases of PTH were:34males (18.38%) and12females (21.82%); age <30years and8cases (11.43%),30to50years old in23cases (18.40%),>50years15patients (33.33%);GCS score of10to15minutes4cases (8.89%), GCS score6to9points17cases (17.53%), GCSscore of3to5minutes25cases (26.60%) CT Fisher grade I to II10cases (10.20%),CT Fisher grade class III to IV36cases (25.35%); epidural hemorrhage in2cases(6.67%), subdural bleeding and intracranial hemorrhage in44cases (23.40%);After 31cases of the disease hydrocephalus basic information: decompressive craniectomy in19cases (31.15%), not decompressive craniectomy in12cases (14.63%).194casesbasic information PTH ’s no disease: male151cases (81.6%), female43cases(78.18%);Age <30years old62cases (88.57%),30to50years102cases(81.60%),>50years30cases (66.67%); GCS score of10to15minutes45cases(91.11%), GCS score6to9of80cases (82.47%), GCS score of3to5minutes69cases(73.74%); CT Fisher grade I to II class88cases (89.80%), CT Fisher grade III to IVgrade106cases; epidural hemorrhage28patients (93.33%), subdural bleeding andintracranial hemorrhage144cases (76.60%);Basic information is not after the onset ofPTH112cases:42cases bone removal (68.85%), decompressive craniectomy70cases (85.37%) did not go. By chi-square test, Fish exact test line drawn univariateanalysis: patient age, admission GCS score, subarachnoid hemorrhage, decompressivecraniectomy, intracranial hematoma is an important concurrent hydrocephalus aftertraumatic brain injury factors, and the gender and brain injury complicatedhydrocephalus no correlation. Logistic regression analysis found that theabove-mentioned factors: age, subarachnoid hemorrhage, decompressive craniectomy,intracranial hematoma closely associated with brain injury after onset hydrocephalus,and the GCS score with craniocerebral injury hydrocephalus was no significantcorrelation.Conclusion: Patients with traumatic brain injury, traumatic brain incidence ofhydrocephalus19.17%; and need surgery patients after decompressive craniectomy upto31.15%of its incidence. The patient’s age, subarachnoid hemorrhage, intracranialhematoma and decompressive craniectomy is a major risk factor for hydrocephalus aftertraumatic brain injury incurred.