急性颈髓损伤后低钠血症影响因素的logistic多元回归分析  

Logistic regression of influencing factor of hyponatremia after acute cervical cord injury

作　　者：康健[1] 袁文[1] 王新伟[1] 朱大成[1] 郑光锋[1] 陈君生[1] 高建伟[1] 

机构地区：[1]第二军医大学附属长征医院骨科,上海200003

出　　处：《脊柱外科杂志》2011年第1期27-30,共4页Journal of Spinal Surgery

摘　　要：目的利用单因素分析及logistic回归分析方法分析急性颈髓损伤后各因素对低钠血症的影响。方法以145名急性颈髓损伤患者为研究对象,对颈髓损伤位置、损伤严重程度、是否合并脑外伤、是否合并感染、是否使用呼吸机进行单因素分析及logistic回归分析,了解各因素对颈髓损伤后低钠血症的影响。结果单因素分析:颈髓损伤严重程度、是否合并脑外伤、是否使用呼吸机、是否合并感染对低钠血症是否发生具有显著影响。logistic回归分析:颈髓损伤严重程度、是否使用呼吸机、是否合并感染对低钠血症是否发生具有显著影响。结论对于急性颈髓损伤后低钠血症患者,其颈髓损伤的严重程度是是否发生低钠血症的重要影响因素,而是否使用呼吸机、是否合并感染对是否发生低钠血症的影响可视为和损伤严重程度相关。Objective To investigate whether the selected factor can influence the incidence rate of hyponatremia in patients of acute cervical cord injury by using single factor analysis and logistic regression analysis.Methods A total of 145 patients with acute cervical cord injury were included in this study.The influence of position and severity of cervical cord injury,combined with cerebral injury or not,with/without ventilatory support and with/without infection on hyponatremia incidence was analyzed by using single factor analysis and Logistic regression analysis.Results The severity of cervical cord injury,combined with cerebral injury or not,with/without ventilatory support and with/without infection were effective on hyponatremia incidence according to the result of single factor analysis,and the severity of cervical cord injury,with/without ventilatory support and with/without infection were effective according to the result of Logistic regression analysis.Conclusion The sevetity of cervical cord injury is important influence factor of hyponatremia after cervical cord injury.With/without ventilatory support and with/without infection are influence factors of hyponatremia after acute spinal cord injury,which may relate with the severity of cervical cord injury.

关 键 词：颈椎 脊髓损伤 低钠血症 LOGISTIC模型 综述 

分 类 号：R651.21[医药卫生—外科学] R591.12[医药卫生—临床医学]