Abstract: Objective To analyze the influencing factors of rapid recovery of patients with chronic subdural hematoma, and to avoid the influence of these factors on postoperative rehabilitation, so as to shorten the length of hospital stay and improve the quality of long-term survival after surgery. Methods A total number of 222 patients diagnosed with chronic subdural hematoma admitted from January 2016 to August 2023 were selected. The fundamental data, imaging data, and inpatient treatment were analyzed. Univariate analysis and logistic regression analysis were used to explore the independent risk factors contributing to the speeded recovery of patients. Results Univariate analysis showed that there were statistical differences in preoperative imaging CT or MR examination for subfalx cerebri hernia, anesthesia method, postoperative urinary catheter indwelling time, subdural drainage tube indwelling time, and ambulation on the first postoperative day （P<0.05）. Logistic regression analysis results showed that preoperative subfalx cerebri hernia and subdural drainage tube indwelling time were independent factors affecting the patient's hospitalization time （P<0.05）. The regression coefficient comparing the two groups of patients with preoperative subfalx cerebri hernia was -1.014. Conclusion The duration of subdural drainage tube indwelling is the main factor affecting the length of hospital stay.

Key words: chronic subdural hematoma, rapid recovery, influencing factors

摘要： 目的 分析慢性硬膜下血肿患者快速康复的影响因素,避免这些因素对患者术后康复的影响,以缩短患者住院时间,改善其术后远期生存质量。方法 选取2016年1月至2023年8月中山大学孙逸仙纪念医院收治诊断为慢性硬膜下血肿患者222例,分析患者基础资料及影像学资料、住院治疗方案,采用单因素分析和Logistic回归分析找出影响患者快速康复的独立危险因素。结果 单因素分析显示,影像学CT或MR术前检查为大脑镰下疝、麻醉方式、术后尿管留置时间、硬膜下引流管留置时间、术后第一天下床活动有统计学差异（P<0.05）;Logistic回归分析结果显示,术前大脑镰下疝、硬膜下引流管留置时间是影响患者住院时间的独立因素（P<0.05）,术前大脑镰下疝两组患者比较回归系数为-1.014。结论 硬膜下引流管留置时间是影响患者住院时间长的主要因素。

关键词: 慢性硬膜下血肿, 快速康复, 影响因素