Traumatic brain injury in China
Traumatic brain injury in China
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中国脑外伤
DOI：
10.1016/s1474-4422(18)30469-1
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发表时间：
2019-03-01
期刊：
影响因子：
48
通讯作者：
Huang, Xian-Jian
中科院分区：
文献类型：
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作者：
Jiang, Ji-Yao;Gao, Guo-Yi;Huang, Xian-Jian
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，使这种情况成为一个主要的公共卫生问题。在中国，基于人群的TBI死亡率估计约为每10万人13例，与其他国家报告的死亡率相似。各种措施的实施，如道路交通安全立法，建立专门的神经外科重症监护病房，以及制定循证指南，有助于推进中国TBI患者的预防和护理。然而，仍然存在许多挑战，这些挑战因TBI护理的区域差异而进一步加剧。高水平的护理，如颅内压监测，还没有普及。在过去的30年里，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患者和专业的创伤中心为中国的TBI研究提供了独特的机会。此外，中国与国际组织之间研究合作的形成和发展被认为是提高中国TBI护理和研究质量以及改善患者生活质量的关键。
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.