Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal.
Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal. itsme.
J Nepal Health Res Counc. 2020 Apr 20;18(1):112-115. doi: 10.33314/jnhrc.v18i1.2276.
The aim of the study is to find out the age and sex distribution, modes of head injury and correlate Glasgow Coma Scale with Computed Tomography in patients with head trauma in our center.
A cross-sectional study was performed among 113 patients of acute head trauma presenting to Emergency department of our hospital for three months. The severity of the head injury was assessed on admission by the Glasgow Coma Scale score and categorized as mild, moderate, or severe head injury. Non contrast head computed tomography was obtained.
The mean age of patients studied in this study was 35.53 year in males and 32.1 year in female with male to female ratio being 1.86:1. The most common causes of head injury were road-traffic accident 58 (51%), falls 42 (37%) and physical assault 13 (12%). In our present study, 67 (59.3%) of patients had mild head injury, 27 (23.9%) had moderate head injury and 19(16.8%) had severe head injury. Our study shows presence of multiple lesions with depressed bone fracture of skull bone was associated with lower Glasgow Coma Scale. Significant association between Glasgow Coma Scale and computed tomography finding was seen(p less than 0.001).
Glasgow Coma Scale is strongly associated with computed tomography in patients with head injury. Road traffic accident is the commonest mode of injury. Most present with mild head injury.
本研究旨在探讨我院头外伤患者的年龄、性别分布、颅脑损伤方式，并与格拉斯哥昏迷量表（GCS）和计算机断层扫描（CT）结果进行相关性分析。
对我院急诊科三个月内收治的 113 例急性颅脑外伤患者进行横断面研究。入院时采用 GCS 评分评估颅脑损伤严重程度，分为轻度、中度和重度颅脑损伤。行头颅 CT 平扫。
本研究患者的平均年龄为 35.53 岁（男性）和 32.1 岁（女性），男女比例为 1.86:1。最常见的颅脑损伤原因是道路交通事故 58 例（51%）、跌倒 42 例（37%）和人身攻击 13 例（12%）。在本研究中，67 例（59.3%）患者为轻度颅脑损伤，27 例（23.9%）为中度颅脑损伤，19 例（16.8%）为重度颅脑损伤。我们的研究表明，颅骨凹陷性骨折伴多发损伤与较低的格拉斯哥昏迷量表评分有关。格拉斯哥昏迷量表评分与 CT 表现之间存在显著相关性（p<0.001）。
格拉斯哥昏迷量表评分与颅脑外伤患者的 CT 结果密切相关。道路交通伤是最常见的损伤方式。大多数患者表现为轻度颅脑损伤。
