颅脑损伤患者蛛网膜下腔出血患病率的横断面研究

IF 0.4 Q4 NEUROSCIENCES

Archives of Neuroscience Pub Date : 2023-06-12 DOI:10.5812/ans-136402

Hassan Reza Mohammadi, Sohrab Sadeghi, M. Hatefi, Aryoobarzan Rahmatian

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引用次数: 0

摘要

背景：创伤性脑损伤患者的临床表现和并发症之一是创伤性颅内出血，分为原发性出血和继发性出血。目的：本研究旨在确定创伤性脑损伤（TBI）患者蛛网膜下腔出血（SAH）的发生率。方法：本研究对所有TBI合并SAH的患者进行了为期一年的横断面研究。数据收集工具包括人口统计资料表和研究人员制作的检查表。TBI的严重程度根据格拉斯哥昏迷量表（GCS）评分进行划分。入院时考虑了患者的病史和临床检查。每隔6至24小时测量意识水平，进行计算机断层扫描，并记录任何与SAH相关的异常临床表现和症状。如果患者除SAH外还有其他出血，则记录血肿量。将收集的数据输入SPSS 16版软件进行分析。结果：共调查534例患者，其中84例（15.3%）发生颅内出血。84例颅内出血患者中，12例（2.2%）发生SAH，其中10例为男性，2例为女性。SAH发生于交通事故、跌倒和其他相关原因的患者分别为7例（58.3%）、4例（33.3%）和1例（8.3%）。研究还表明，1例（8.3%）、2例（16.6%）和9例（75%）SAH患者分别有轻度、中度和重度意识。关于SAH相关疾病的频率，研究表明，2名（16.6%）和10名（82.3%）患者为糖尿病和非糖尿病患者，4名（33.3%）和8名（66.6%）患者为高血压和非高血压患者，7名（58.3%）和5名（41.6%）患者分别有和没有颅骨骨折史，其中12名（100%）患者有凝血障碍史。结论：TBI患者颅内出血和蛛网膜下腔出血的发生率明显较高，在对这些患者进行诊断和治疗时应考虑这一点。

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Prevalence of Subarachnoid Hemorrhage in Traumatic Brain Injury Patients: A Cross-Sectional Study

Background: One of the clinical manifestations and complications of traumatic brain injury patients is traumatic intracranial hemorrhages, divided into primary and secondary hemorrhages. Objectives: The present study was conducted to determine the prevalence of subarachnoid hemorrhage (SAH) in traumatic brain injury (TBI) patients. Methods: The present cross-sectional study was conducted on all TBI patients with SAH for one year. Data collection tools include a demographic profile form and a researcher-made checklist. The severity of TBI is divided according to the Glasgow Coma Scale (GCS) score. The patient’s history and clinical examinations were considered when admitting to the hospital. The consciousness level was measured at 6-to-24-hour intervals, a computed tomography (CT) scan was performed, and any abnormal SAH-related clinical findings and symptoms were recorded. If the patient had other hemorrhages besides SAH, the hematoma volume was recorded. The collected data were entered into and analyzed by SPSS version 16 software. Results: A total of 534 patients were investigated, of whom 84 (15.3%) had intracranial hemorrhage. Out of 84 patients with intracranial hemorrhage, 12 (2.2%) had SAH, of whom ten were male and 2 were female. Also, SAH occurred to traffic accidents, falls, and other related reasons in 7 (58.3%), 4 (33.3%), and 1 (8.3%) patients, respectively. It was also shown that 1 (8.3%), 2 (16.6%), and 9 (75%) patients with SAH had mild, moderate, and severe consciousness, respectively. Regarding the frequency of SAH-related diseases, it was shown that 2 (16.6%) and 10 (82.3%) patients were diabetic and non-diabetic, 4 (33.3%) and 8(66.6%) patients were hypertensive and non-hypertensive, and 7 (58.3%) and 5 (41.6%) patients were with and without a history of skull fractures, respectively, 12 (100%) of them had a history of coagulation disorders. Conclusions: The prevalence of intracranial hemorrhage and SAH in TBI patients is significantly high, which should be taken into consideration when performing diagnostic and therapeutic procedures for these patients.

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Archives of Neuroscience NEUROSCIENCES-

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期刊介绍： Archives of neuroscience is a clinical and basic journal which is informative to all practitioners like Neurosurgeons, Neurologists, Psychiatrists, Neuroscientists. It is the official journal of Brain and Spinal Injury Research Center. The Major theme of this journal is to follow the path of scientific collaboration, spontaneity, and goodwill for the future, by providing up-to-date knowledge for the readers. The journal aims at covering different fields, as the name implies, ranging from research in basic and clinical sciences to core topics such as patient care, education, procuring and correct utilization of resources and bringing to limelight the cherished goals of the institute in providing a standard care for the physically disabled patients. This quarterly journal offers a venue for our researchers and scientists to vent their innovative and constructive research works. The scope of the journal is as far wide as the universe as being declared by the name of the journal, but our aim is to pursue our sacred goals in providing a panacea for the intractable ailments, which leave a psychological element in the daily life of such patients. This authoritative clinical and basic journal was founded by Professor Madjid Samii in 2012.