[1]骆杰民,车彦军,夏智源,等.贫血程度及持续时间对重型颅脑损伤预后的影响[J].中国临床神经外科杂志,2017,(02):86-88.[doi:10.13798/j.issn.1009-153X.2017.02.008]
　LUO Jie-min,CHE Yan-jun,XIA Zhi-yuan,et al.Effect of anemia on the prognoses in patients with severe traumatic brain injury[J].,2017,(02):86-88.[doi:10.13798/j.issn.1009-153X.2017.02.008]
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贫血程度及持续时间对重型颅脑损伤预后的影响()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年02期
页码:
86-88
栏目:
论著
出版日期:
2017-02-20

文章信息/Info

Title:
Effect of anemia on the prognoses in patients with severe traumatic brain injury
文章编号:
1009-153X（2017）02-0086-03
作者:
骆杰民; 车彦军; 夏智源; 周珂
作者单位：214500 江苏，靖江市人民医院神经外科（骆杰民、车彦军、夏智源、周　珂） 通讯作者：车彦军，E-mail：cheyj2003@163.com
Author(s):
LUO Jie-min;  CHE Yan-jun;  XIA Zhi-yuan;  ZHOU Ke.
Department of Neurosurgery, Jingjiang Municipal people’s Hospital, Jingjiang 214500, China
关键词:
重型颅脑损伤; 贫血; 血红蛋白; 预后
Keywords:
Traumatic brain injury;  Hemoglobin;  Anemia;  Prognosis
分类号:
R 651.1+5
DOI:
10.13798/j.issn.1009-153X.2017.02.008
文献标志码:
A
摘要:
目的 探讨重型颅脑损伤（TBI）患者伤后7 d内贫血的程度和持续时间对其预后的影响。方法 2012年6月至2016年2月收治符合入选标准的重型TBI 91例，以血红蛋白浓度（Hb）等于90 g/L作为分组的标准阈值分为Hb<90 g/L组（61例）和Hb≥90 g/L组（30例），以贫血面积参数（AAI）、GOS评分和KPS评分等作为主要观察指标。结果 出院后6个月，Hb≥90 g/L组GOS评分[（4.4±1.1）分]和KPS评分[（83.7±26.2）分]均明显高于Hb<90 g/L组[分别为（3.3±1.0）分、（57.7±24.4）分；P<0.05]。Hb<90 g/L组患者AAI与GOS、KPS评分均呈显著负相关（rs分别为-0.705，-0.702；P<0.01）。结论 TBI患者在伤后7 d Hb<90 g/L及其持续时间与患者预后密切相关，Hb≥90 g/L有利于改善患者预后。
Abstract:
Objective To explore the effects of anemia within 7 days after the injury on the prognoses in the patients with severe traumatic brain injury (TBI). Method Of 91 patients with severe TBI treated in our hospital from June, 2012 to February, 2016, 61 had anemia [hemoglobin (Hb) concentration <90 g/L] and 31 did not (Hb>90 g/L). The main observed indexes were anemia area index (AAI), GOS score and Karnofsky performance scale (KPS) score. The relationship among them was analyzed. Results The GOS score [(4.433±1.073) points] and KPS score [(83.667±26.193) points] were significantly higher in the patients without anemia than those [(3.328±0.978) points and [(57.704±24.385) points respectively] in the patients with anemia (P<0.05). Conclusions The degree and duration of anemia (Hb<90 g/L) is closely related to the prognoses in the patients with severe TBI. Hb≥90 g/L is helpful to improving the prognoses in patients with severe TBI.

参考文献/References:

[1] Oddo M, Levine JM, Kumar M, et al. Anemia and brain oxygen after severe traumatic brain injury [J]. Intensive Care Med, 2012, 38: 1497-1504.
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更新日期/Last Update: 1900-01-01