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目的:探讨患者术前时间(受伤到手术的时间或出现手术指征到手术的时间)与预后的关系。方法:颅脑外伤入院急诊手术患者132例,以入院格拉斯哥评分(GCS)分为重型(GCS≤8)、轻型(GCS>8)两组;以上两组又根据受伤到手术的时间的不同每组各分为3组(<1.5h组、1.5～3h组、>3h组);重型(GCS≤8)组又根据出现手术指征到手术的时间的不同分为3组(<1h组、1～2.5h组、>2.5h组)三组。重型、轻型两组行组内和组间预后比较。结果:患者术前时间与预后呈负相关,术前时间越短,预后越好;GCS评分与预后的关系为正相关,术前GCS评分越高,预后越好;根据(受伤到手术的时间与出现手术指征到手术的时间)分别比较的结果,依然是时间越短,预后越好,两种分组比较预后基本同步。结论:术前时间对预后的影响是巨大的,所以缩短术前时间可以有效地改善预后。
Objective: To investigate the relationship between the preoperative time (the time from injury to operation or the indication of operation to the operation time) and prognosis. Methods: One hundred and fourty-two patients undergoing emergency surgery were divided into two groups according to GCS (GCS≤8) and light (GCS> 8). The above two groups were divided into two groups according to the time from injury to surgery The patients in each group were divided into 3 groups (<1.5h group, 1.5-3h group,> 3h group). The patients with severe GCS≤8 group were divided into 3 groups (<1h group, 1 ~ 2.5h group,> 2.5h group) three groups. Comparison of prognosis between the two groups in heavy and light groups. Results: The preoperative time was negatively correlated with the prognosis. The shorter the preoperative time was, the better the prognosis was. The positive correlation between the GCS score and the prognosis was found. The higher the preoperative GCS score was, the better the prognosis was. And surgery indications to the time of surgery) were compared, the result is still shorter, the prognosis is better, the two groups compared with the prognosis of basic synchronization. Conclusion: The effect of preoperative time on prognosis is huge, so shortening the preoperative time can effectively improve the prognosis.