外伤后急性弥漫性脑肿胀的相关危险因素分析  

Related Risk Factors and Nursing Care of Posttraumatic Acute Diffuse Cerebral Swelling

作　　者：邬幼萍[1] 张春雷[1] 王玉海[1] 刘其芹[1] 

机构地区：[1]全军颅脑损伤救治中心,解放军第101医院神经外科一区,江苏无锡214044

出　　处：《医学临床研究》2013年第11期2215-2217,共3页Journal of Clinical Research

摘　　要：[目的]通过对外伤后急性弥漫性脑肿胀（PADBS ）的临床流行病学调查，分析其相关危险因素，为制定针对性护理措施提供依据。[方法]对PADBS患者可能的10个危险因素（性别、年龄、受伤至入院时间、着力部位、误吸、低血压、高血压病史、原发脑干伤、合并多发伤、颅底骨折）行Logistic回归分析。[结果]原发脑干伤、有无低血压、着力部位（枕部）、误吸是PADBS的危险因素，高龄是PADBS的保护因素。[结论]护士应关注PADBS的相关危险因素，加强呼吸、循环系统监护，减少误吸，正确实施液体疗法等措施尽量减少PADBS发生。[Objective] To analyze the related risk factors of posttraumatic acute diffuse brain swelling （PAD-BS） through clinical epidemiological survey in order to provide the evidence for the corresponding care strategies .[Methods] Ten possible risk factors（gender ,age ,time from injured to enter hospital ,force position ,aspiration , hypotension ,history of hypertension ,primary brainstem injury ,united injury and basicranial fracture） of patients with PADBS were analyzed by logistic regression analysis .[Results] Primary brainstem injury ,hypotension ,force position（occiput） and aspiration were the risk factors of PADBS .Great age was the protective factor of PADBS .[Conclusion] Nurses should concern about the related risk factors of PADBS .Measures such as respiratory and circulatory monitoring and correct fluid therapy should be taken to reduce the incidence of acute diffuse cerebral swelling in patients with trauma as for as possible .

关 键 词：脑水肿 护理 危险因素 

分 类 号：R743[医药卫生—神经病学与精神病学]