Department of Neurosurgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Department of Neurosurgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Lancet Neurol. 2019 Mar;18(3):286-295. doi: 10.1016/S1474-4422(18)30469-1. Epub 2019 Feb 12.
China has more patients with traumatic brain injury (TBI) than most other countries in the world, making this condition a major public health concern. Population-based mortality of TBI in China is estimated to be approximately 13 cases per 100 000 people, which is similar to the rates reported in other countries. The implementation of various measures, such as safety legislation for road traffic, establishment of specialised neurosurgical intensive care units, and the development of evidence-based guidelines, have contributed to advancing prevention and care of patients with TBI in China. However, many challenges remain, which are augmented further by regional differences in TBI care. High-level care, such as intracranial pressure monitoring, is not universally available yet. In the past 30 years, the quality of TBI research in China has substantially improved, as evidenced by an increasing number of clinical trials done. The large number of patients with TBI and specialised trauma centres offer unique opportunities for TBI research in China. Furthermore, the formation and development of research collaborations between China and international groups are considered essential to advancing the quality of TBI care and research in China, and to improve quality of life in patients with this condition.
中国的创伤性脑损伤(TBI)患者比世界上大多数其他国家都多,这使得这种疾病成为一个主要的公共卫生关注点。据估计,中国 TBI 的基于人群的死亡率约为每 10 万人中有 13 例,与其他国家报告的死亡率相似。中国实施了各种措施,例如道路交通安全立法、建立专门的神经外科重症监护病房以及制定基于证据的指南,这些措施都有助于推进 TBI 的预防和治疗。然而,仍然存在许多挑战,而 TBI 护理方面的地区差异进一步加剧了这些挑战。高水平的护理,如颅内压监测,尚未普及。在过去的 30 年中,中国 TBI 研究的质量有了很大的提高,这可以从越来越多的临床试验中得到证明。大量的 TBI 患者和专门的创伤中心为中国的 TBI 研究提供了独特的机会。此外,中国与国际团体之间形成和发展研究合作被认为对于提高中国 TBI 护理和研究的质量以及改善患者的生活质量至关重要。