急性颈髓损伤并发低钠血症的危险因素分析  

Risk factor analysis of hyponatremia in patients with acute cervical spinal cord injury

作　　者：李克俭[1] 贺晓兵[1] 丁可[1] 

机构地区：[1]重庆市涪陵中心医院骨科,重庆涪陵408000

出　　处：《局解手术学杂志》2010年第1期35-36,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨急性颈髓损伤患者并发低钠血症的危险因素。方法检测160例急性颈髓损伤患者空腹血钠指标,按照脊髓损伤程度、损伤节段、合并感染、合并颅脑外伤、年龄、病程、损伤原因等因素分组,比较上述因素对低钠血症发生率的影响。结果不同颈髓损伤程度、损伤节段、合并感染、合并颅脑外伤、年龄、病程各组别之间低钠血症发生率有显著差异(P<0.05),不同损伤原因各组之间低钠血症发生率无显著差异(P>0.05)。结论急性颈髓损伤患者是否并发低钠血症的危险因素包括:脊髓损伤程度、损伤节段、合并感染、合并颅脑外伤、年龄、病程。损伤程度越重,节段越高,年龄越大,病程越长,合并有感染或者颅脑外伤的患者,并发低钠血症的发生率越高。Objective To probe the risk factors of hyponatremia in patients with acute cervical spinal cord injury （ACSCI）. Methods Fasting blood sodium values of 160 cases suffering ACSCI were recorded, subsequently those patients were classified into different groups according to following factors ：injury severity ,injury segment, association of head injury, association of infection, course of disease and age, then analyze the influences of those factors to incidence of hyponatremia. Results Different injury severity, injury segment, association of head injury, association of infection, course of disease and age contributed to significant difference in hyponatremia incidence （P 〈 0.05 ）, although cause of trauma led to no significant difference （P 〉0.05）. Conclusion The risk factors of hyponatremia in patients with ACSCI include： injury severity,injury segment, association of head injury, association of infection, course of disease and age. More severe injury, higher involving segment, older patients, longer course of disease and complication such as head injury or infection tend to result in a higher incidence of hyponatremia.

关 键 词：颈髓损伤 低钠血症 危险因素 

分 类 号：R651.2[医药卫生—外科学]