| Abstract |
[Abstract] Objective To investigate the current situation and risk factors of postoperative mental disorders after craniocerebral injury surgery. Methods From April 2017 to June 2021, 80 patients with craniocerebral injury were included in the neurosurgery department of the First Peoples Hospital of Yulin City, Guangxi. Patients who meet the surgical indications and undergo surgery within 48 hours after injury. Postoperative of the occurrence of mental disorders were evaluated. Group based on whether mental disorders have occurred. The medical records such as age and comorbidities between two groups of patients were investigated and compared. The logistic regression analysis were used to investigate risk factors for mental disorders. Results 27 out of 80 patients with traumatic brain injury were found to have mental disorders after surgery, accounting for 33.75%. There was a statistically significant difference in frontal lobe injury, surgical method, age, intracranial hematoma, combined hypoxemia, Glasgow coma scale (GCS) on admission, and time from injury to admission between the mental disorder group and the non mental disorder group (P<0.05). There was no statistically significant difference in gender, education level, and cause of injury between the two groups (P>0.05). Logistic regression analysis showed that frontal lobe injury, admission GCS score ≤ 8 points, intracranial hematoma, combined hypoxemia, and craniotomy were risk factors for postoperative mental disorders after craniocerebral injury. Conclusion The incidence of mental disorders after craniocerebral injury surgery is relatively high, and frontal lobe injury, high degree of coma upon admission, and intracranial hematoma can increase the risk of mental disorders.
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