文章摘要

儿童轻型颅脑损伤中头颅CT异常患者的危险因素

作者: 1狄 广福, 1方 新运, 1邵 学非, 1江 晓春
1 皖南医学院第一附属医院神经外科,安徽 芜湖 241001
通讯: 江 晓春 Email: jiangxiaochun2001@hotmail.com
DOI: 10.3978/j.issn.2095-6959.2020.01.013
基金: 安徽省自然科学基金(1908085QH356)。

摘要

目的:探讨儿童轻型颅脑损伤头颅CT异常的危险因素。方法:回顾性分析2014年1月至2016年12月收治175例儿童轻型颅脑损伤患者的临床资料,其中男103例,女72例;年龄0.6~14.0(8.2±3.5)岁。受伤原因:交通事故67例,坠跌伤99例,其他(打伤、撞伤、砸伤、砍伤)9例。根据初次头颅CT结果将患者分为正常组(33例)和异常组(142例)。对可能出现头颅CT异常患者的性别、年龄、入院时GCS评分、受伤原因、初次头颅CT检查时间、意识丧失、呕吐、外伤后癫痫8项危险因素,进行单因素和多因素非条件logistic回归分析。结果:单因素分析结果显示性别(P=0.001)、年龄(P=0.008)、呕吐(P=0.019)为儿童轻型颅脑损伤头颅CT异常的相关危险因素。多因素非条件logistic回归分析结果显示年龄(OR=4.267,95%CI:1.518~11.991,P=0.006)和呕吐(OR=3.054,95%CI:1.356~6.877,P=0.007)是儿童轻型颅脑损伤头颅CT异常的独立危险因素。结论:年龄≤6岁和呕吐是儿童轻型颅脑损伤头颅CT异常的独立危险因素,为儿童轻型颅脑损伤临床选择是行头颅CT提供了依据。
关键词: 儿童;轻型颅脑损伤;危险因素

Risk factors of abnormal computerized tomography in children with mild traumatic brain injury

Authors: 1DI Guangfu, 1FANG Xinyun, 1SHAO Xuefei, 1JIANG Xiaochun
1 Department of Neurosurgery, First Affiliated Hospital of Wannan Medical College, Wuhu Anhui 241001, China

CorrespondingAuthor:JIANG Xiaochun Email: jiangxiaochun2001@hotmail.com

Foundation: This work was supported by Anhui Provincial Natural Science Foundation, China (1908085QH356).

Abstract

Objective: To identify risk factors of abnormal computerized tomography in children with mild traumatic brain injury and clarify clinical factors using computerized tomography. Methods: Between Jan 2014 and Dec 2016, we retrospectively enrolled 175 children that were <15 years old with mild TBI. Data was recorded including gender, age, GCS score on admission, causes of head injury, first CT time, loss of consciousness, vomiting, and seizure. Of them, 103 of male, 72 female, and the age was (8.2±3.5) years. Fall (n=99) were the leading mechanism of injury, followed by traffic accidents (n=67). Based on initial CT findings, they were dichotomized into either a normal CT group or an abnormal CT group. Besides, clinical data were reviewed for comparison. Multivariate logistic regression analysis was also applied to identify risk factors of abnormal CT. Results: Univariate analysis showed between-group differences were significant in gender (P=0.001), age (P=0.008) and vomiting (P=0.019). Multivariate logistic regression analysis identified age (OR=4.267, 95%CI 1.518–11.991, P=0.006) and vomiting (OR=3.05, 95%CI 1.356–6.877, P=0.007) as independent risk factors of abnormal CT in children with mild traumatic brain injury. Conclusion: Age ≤6 years old and vomiting are associated with abnormal CT. These factors should be considered when making decisions on CT of children with mild TBI.
Keywords: children; mild traumatic brain injury; risk factors