《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (09): 730-732.

• 临床研究 • 上一篇    下一篇

创伤性颅脑损伤康复治疗患者相关因素的回顾性分析

张皓; 张小年; 芦海涛   

  1. 北京博爱医院神经康复科 北京市 100068
  • 收稿日期:2005-06-08 出版日期:2005-09-25 发布日期:2005-09-25

Characters of traumatic brain injury in patients accepted rehabilitation

ZHANG Hao, ZHANG Xiao-nian, LU Hai-tao   

  1. Department of Neurological Rehabilitation, Beijing Charity Hospital, Beijing 100068, China
  • Received:2005-06-08 Published:2005-09-25 Online:2005-09-25

摘要: 目的了解接受康复治疗的创伤性颅脑损伤(TBI)患者的一般情况、康复治疗时间、并发症等情况。方法回顾性分析北京博爱医院神经康复科1993年9月~2004年7月入院的所有TBI病例。结果共有280例TBI住院患者,平均发病年龄(33.1±11.4)岁,男女比为4.28∶1,职业构成以机关干部为主(占34.6%),报销方式也以公费医疗最多(占71.1%)。受伤原因以交通事故为主(占66.4%)。入院时距离受伤日期10 d~6年,平均288 d,在伤后3月内入院行康复治疗者占25.0%。继发癫痫者占15.7%,住院期间发现有脑积水者占18.9%。结论目前我国因TBI住院康复治疗的群体主要为城市男性居民、享受公费医疗待遇者;TBI急性期和亚急性期的康复流程体系也有待建立和完善。

关键词: 创伤性颅脑损伤, 康复, 流行病学

Abstract: ObjectiveTo investigate the personal or clinical characters of those traumatic brain injury (TBI) patients who accept rehabilitative therapy in the past decade.Methods280 inpatients were observed and evaluated at admission. Database was then established. ResultsThe average age was (33.1±11.4), and the ratio of male to female was 4.28:1. 34.6% of them were office-bearer, and 71.1% of all could gain the socialized medicine. Of the cause, 66.4% were traffic accidents. The time between date of onset and date of admission ranged from 10 days to 6 years, with average 288 days, and only 25.0% patients was admitted less than 3 months after onset. Of them all, 15.7% were diagnosed as posttraumatic seizure and 18.9% as dropsy of brain.ConclusionThe main TBI patients in our hospital were male citizens who had socialized medicine. Too less patients can accept rehabilitative therapy during acute or subacute periods after onset.

Key words: traumatic brain injury, rehabilitation, epidemiology