中国创伤性脑损伤：流行病学、护理途径和临床研究的最新进展
Traumatic brain injury in China: an update on epidemiology, care pathways, and clinical research.
摘要(中文译文)
创伤性脑损伤（TBI）的疾病负担在全球范围内仍是一项挑战，在中国亦是如此。自2019年以来，在社会和经济因素的推动下，TBI的流行病学和特征发生了相当大的变化，这些因素包括人口老龄化和道路交通中助力车使用的增加。与此同时，临床研究取得了实质性进展，包括针对创新疗法开展的高质量研究，如长时程亚低温治疗重型TBI、右正中神经刺激促醒脑损伤后昏迷患者，以及脑膜中动脉栓塞治疗慢性硬膜下血肿。然而，挑战依然存在，包括神经外科住院医师培训体系的建立、专科医疗资源获取的地区差异，以及参与国际研究网络的程度较低。临床及其他方面的创新为改善中国TBI的诊疗和研究提供了机遇。中国的进展可为低资源环境与高度专业化中心之间TBI诊疗的过渡提供指导。
Abstract
The burden of traumatic brain injury (TBI) remains a challenge worldwide, and also in China. Since 2019, considerable changes in the epidemiology and characteristics of TBI have occurred, driven by social and economic factors, such as population ageing and the increasing use of mopeds for road transportation. Concurrently, substantial progress has been made in clinical research, including the implementation of high-quality studies on innovative treatments, such as long-term mild hypothermia for severe TBI, right median nerve stimulation for awakening patients in coma after a brain injury, and middle meningeal artery embolisation for chronic subdural haematoma. However, challenges remain, including in the establishment of training for neurosurgical residents, regional disparities in access to specialised healthcare, and low participation in international research networks. Clinical and other innovations provide opportunities for improving TBI care and research in China. Advances in China could offer guidance for the transition between TBI care in low-resource setting and highly specialised centres.
如何引用
AMA
Jun-Feng Feng, Xian-Jian Huang, Xiao-Feng Yang, Guo-Yi Gao, Qing-Hua Wang, Zheng-Hui He, et al. Traumatic brain injury in China: an update on epidemiology, care pathways, and clinical research.. The Lancet. Neurology. 2026; doi:10.1016/S1474-4422(25)00492-2.
APA
Jun-Feng Feng, Xian-Jian Huang, Xiao-Feng Yang, Guo-Yi Gao, Qing-Hua Wang, Zheng-Hui He, et al (2026). Traumatic brain injury in China: an update on epidemiology, care pathways, and clinical research.. The Lancet. Neurology. https://doi.org/10.1016/S1474-4422(25)00492-2
GB/T 7714
Jun-Feng Feng, Xian-Jian Huang, Xiao-Feng Yang, Guo-Yi Gao, Qing-Hua Wang, Zheng-Hui He, et al. Traumatic brain injury in China: an update on epidemiology, care pathways, and clinical research.[J]. The Lancet. Neurology, 2026 doi:10.1016/S1474-4422(25)00492-2.
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