急性脊髓损伤患者早期并发症及危险因素分析  

Early complications and risk factors in patients with acute spinal cord injury

作　　者：李景伟[1] 冯世庆[2] 焦新旭[2] 于铁强[2] 张学利[3] 邓树才[4] 姜文学[5] 王景贵[6] 

机构地区：[1]天津医科大学宝坻临床学院,301800 [2]天津医科大学总医院,300052 [3]天津市人民医院,300191 [4]天津市天津医院,300211 [5]天津市第一中心医院,300192 [6]天津市武警医院,天津市210003

出　　处：《中国脊柱脊髓杂志》2011年第7期569-572,共4页Chinese Journal of Spine and Spinal Cord

基　　金：天津市卫生局科技重点基金(编号:07KG2);国家自然科学基金(编号:30872603);天津市科委发展基金(编号:10YFJZJC17500)

摘　　要：目的:统计急性创伤性脊髓损伤患者早期并发症发生情况并探讨其危险因素。方法:回顾性分析895例脊髓损伤患者的临床资料,以是否在急性期发生早期并发症分为两组,对可能影响患者早期并发症发生的因素,如性别、年龄、脊髓损伤程度、损伤节段、手术情况及急性期是否应用糖皮质激素等进行统计分析。结果:急性期发生早期并发症者178例,发生率为19.9%,两组间在发病年龄、脊髓损伤程度和损伤节段方面差异具有显著性(P<0.05),高龄、损伤程度重以及高位脊髓损伤是合并早期并发症的危险因素;而性别、急性期是否应用糖皮质激素以及手术与否两组间差别无显著性(P>0.05)。结论:急性期脊髓损伤早期并发症发生率较高,高龄、损伤程度重以及高位脊髓损伤患者易合并早期并发症,在脊髓损伤急性期需综合防治,降低其发生率。Objective：To investigate the incidence and risk factors for early complications in patients with acute traumatic spinal cord injury（TSCI）.Method：Clinical information of 895 patients suffering from TSCI was reviewed retrospectively.All cases were classified into two groups based on presence of early complications.The related factors：gender,age,injury severity and level,surgery or not and glucocorticoid used in early stage or not were analyzed.Result：178 patients suffered from early complications in acute phase,with the incidence of 19.9%（178/895）.Age,TSCI severity and level showed significant difference between 2 groups（P〈0.05）,while gender,glucocorticoid used and surgery or not in acute phase showed no group-related difference（P〉0.05）.Conclusion：Patients with TSCI are prone to develop early complications,and elderly,injury severity and higher level injury are risk factors,as a result,comprehensive intervention is indicated.

关 键 词：脊髓损伤 早期并发症 危险因素 LOGISTIC回归分析 

分 类 号：R683.2[医药卫生—骨科学]