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研究生:林上淵
研究生(外文):Shang-Yuan Lin
論文名稱:花蓮地區腦外傷之流行病學研究
論文名稱(外文):Epidemiology of Traumatic Brain Injuryin Hualien
指導教授:邱文達邱文達引用關係
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:傷害防治學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2008
畢業學年度:96
語文別:中文
論文頁數:96
中文關鍵詞:腦外傷花蓮
外文關鍵詞:traumatic brain injuryHualien
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在世界各個國家,事故傷害一直都是公共衛生上重要的議題,所造成的
傷害更導致死亡、終生殘障或植物人等。本研究以花蓮地區腦外傷病人為研
究對象,進行描述型流行病學的分析研究。
本研究分析花蓮地區於1994∼2007 年間發生腦外傷之病人,一共有
6,712 位病人。平均年齡為40.73 歲,男性佔64.7%,女性佔35.3%。結果顯
示,花蓮地區腦外傷的大部分腦外傷以輕度傷害(佔83.5%)居多,預後情
況大多良好(佔83.2%)。男性受傷的嚴重度較女性來的嚴重,預後情況也
較差。且隨著年齡的增加,受傷嚴重度較嚴重,預後情況也較差。受傷原因
方面以車禍和跌落所造成的傷害最嚴重,預後情況最差。受傷嚴重度與年
齡、性別、受傷原因及與傷者相撞物體具有高度相關;預後狀況與年齡、性
別、受傷原因及跌落類型具有高度相關。由此可知,年齡、性別、受傷原因
會對於花年地區腦外傷病人的受傷嚴重度以及預後結果造成影響。
Traumatic Injuries has been a very important issues among countries all over
the world. Traumatic Injuries not only causes death, but life-long disabilities.
This was a descriptive epidemiologic study, which collected. hospital discharge
data from traumatic brain injury (TBI) patients in Hualien.
The highly significant related factors of TBI-associated were estimated by
analysing data collected from a database of TBI in Taiwan.
The study collected hospital discharge data from traumatic brain injury patients
in Hualien from1994 to 2007 .A total of 6,712 cases were analyzed. In this study,
the average age was 40.73, and 64.7% was male. The results revealed that the
major causes of TBI were car accident (52.5%) and falling accidents (26.4%);
and most of the TBI were minor injuries (83.5%) and with fair prognosis
(82.4%).
With increasing age, the degree of injuries and prognosis become more severe.
Traffic accidents inflicted the worst injuries and the worst prognosis followed by
falling accidents. Male patients were more often seriously injured than female
patients with worse prognosis.
目 錄
第一章 緒 論.....................................................................................................1
第一節研究背景與動機..................................................................................1
第二節 研究目的..........................................................................................12
第三節 名詞定義..........................................................................................13
第二章 文 獻 探 討.........................................................................................17
第一節 腦外傷相關研究定義......................................................................17
第二節 腦外傷之後遺症..............................................................................18
第三節 國外腦外傷相關研究......................................................................19
第四節 台灣腦外傷相關研究......................................................................20
第三章 研 究 方 法 與 步 驟......................................................................22
第一節 資料來源..........................................................................................22
第二節 資料涵蓋之時間與範圍..................................................................25
第三節 研究架構..........................................................................................27
第四節 統計分析..........................................................................................28
第四章 研 究 結 果.........................................................................................29
第一節 基本人口學資料之分佈情形..........................................................29
第二節 相關類別變項之分佈情形..............................................................33
第三節 相關類別變項之交叉分析及檢定..................................................43
第四節 相關類別變項之邏輯斯迴歸分析..................................................67
3
第五章 討 論.....................................................................................................73
第六章 結 論.....................................................................................................80
第一節 結論..................................................................................................80
第二節 建議..................................................................................................84
第三節 研究限制..........................................................................................87
參 考 文 獻.........................................................................................................88
附 件.....................................................................................................................94
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