老年外伤性脊髓损伤住院患者并发症及危险因素分析  

An analysis of complications and risk factors in senile resident patients with traumatic spinal cord injuries

作　　者：陈华[1] 于铁强[1] 王国强[1] 左玉明[1] 王月光[1] 

机构地区：[1]河北省唐山市第二医院,063000

出　　处：《中国骨与关节杂志》2015年第1期76-78,共3页Chinese Journal of Bone and Joint

摘　　要：目的探讨老年外伤性脊髓损伤住院患者的并发症及其危险因素。方法回顾性分析2007年1月1日至2011年12月31日,就诊于我院的60岁以上的外伤性脊髓损伤住院患者的年龄、性别、脊髓损伤水平及美国脊髓损伤协会(American spinal injury association,ASIA)评分和并发症。结果 136例老年脊髓损伤患者中,39例发生并发症:呼吸系统并发症20例,心血管系统并发症7例,消化系统并发症6例,泌尿系统并发症5例,褥疮5例,感染1例,双下肢痉挛1例,其中8例发生2种以上并发症。感觉评分、运动评分及手术与否与并发症相关(P<0.05)。运动评分和手术与否是老年脊髓损伤并发症独立危险因素,运动评分与并发症呈负相关(P<0.05),手术与否与并发症呈正相关(P<0.05)。结论呼吸系统并发症是老年脊髓损伤最常见的并发症,易发生多系统并发症。脊损损伤越严重并发症发生率越大,手术会增加早期并发症的发生率。Objective To investigate the complications and risk factors in senile resident patients with traumatic spinal cord injuries.Methods From January 1, 2007 to December 31, 2011, senile resident patients with traumatic spinal cord injuries were adopted, whose age was more than 60 years old. Their age, gender, spinal cord injury level, American Spinal Injury Association （ ASIA ） scores and complications were retrospectively reviewed. Results There were 136 patients in total. Complications occurred in 39 patients, including respiratory complications in 20 patients, cardiovascular complications in 7 patients, digestive complications in 6 patients, urologic complications in 5 patients, bedsores in 5 patients, infections in 1 patient and spasticity in the lower limbs in 1 patients. The complications with more than 2 kinds of systems involved were found in 8 patients. The sensory score, motor score and surgery or not were correlated to the complications （P〈0.05 ）. The motor score and surgery or not are considered as the independent risk factors of spinal cord injuries in senile resident patients. A negative correlation existed between the motor score and the complications （P〈0.05 ）, and a positive correlation was noticed between the surgery or not and the complications （P〈0.05 ）.Conclusions The most common complications originate from the respiratory system in senile patients with spinal cord injuries, and the complications with multiple systems involved are frequently noticed. More serious the injuries are, higher the incidence rate of complications will be. The incidence rate of early complications will be increased due to the surgery.

关 键 词：脊髓损伤 手术后并发症 危险因素 老年人 创伤和损伤 

分 类 号：R473.6[医药卫生—护理学]