| Abstract |
Objective To study the risk factors of cognitive dysfunction in patients with traumatic brain injury. Methods A total of 176 patients with traumatic brain injury treated in our hospital from April 2016 to April 2019 were selected, and their medical records were retrospectively analyzed. The concurrent cognitive dysfunction were set as the observation group, and those without cognitive dysfunction were set as the control group. The risk factors for cognitive dysfunction in patients with traumatic brain injury were analyzed using multivariate logistic regression. Results Twenty-five cases of cognitive dysfunction occurred in 176 patients with craniocerebral trauma, the incidence was 14.20%. The observation group and the control group had differences in age, open trauma, injury site, admission to the National Institutes of Health Stroke Scale (NIHSS) score, combined hypertension, and admission Glasgow Coma Scale (GCS) score with significant differences (P<0.05). There was no significant difference in gender, time from injury to treatment, and combined diabetes in the two groups (P>0.05). Multivariate Logistic regression analysis showed that age> 60 years (OR = 2.423), open trauma (OR = 3.156), frontal lobe injury (OR = 4.012), Temporal lobe injury (OR =2.319)were independent risk factors for cognitive dysfunction in patients with traumatic brain injury. Conclusion Patients with craniocerebral trauma are prone to cognitive dysfunction, which is affected by age, open trauma, injury site and other factors. After admission, the above-mentioned risk factors should be taken seriously and targeted measures should be taken to reduce cognitive dysfunction risk
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