颈脊髓损伤合并呼吸衰竭的危险因素分析  

Analysis of risk factors of respiratory failure after cervical spinal cord injury

作　　者：穆智平 张正丰[1] 刘超[1] 李杰[1] 

机构地区：[1]第三军医大学新桥医院骨科,重庆400037

出　　处：《局解手术学杂志》2015年第3期303-306,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：国家自然科学基金面上项目(81372106)

摘　　要：目的探讨颈脊髓损伤各种危险因素与呼吸衰竭的相关性。方法回顾分析我院2009年1月至2013年12月颈脊髓损伤患者294例,根据是否合并呼吸衰竭分组,合并呼吸衰竭组52例,未合并呼吸衰竭组242例。比较2组各项流行病学指标的差异,分析导致呼吸衰竭的危险因素。结果合并呼吸衰竭组与未合并呼吸衰竭组比较,吸烟史、不同受伤原因、颈脊髓损伤不同平面、ASIA分级、骨折脱位指标具有显著性差异(P<0.05),提示上述因素与呼吸衰竭的发生关系密切。合并呼吸衰竭组的多因素Logistic回归分析结果提示,年龄大于60岁、吸烟史、合并多发伤、骨折脱位、颈4损伤平面以上、全瘫指标具有统计学意义(P<0.10)。结论高龄、吸烟、全瘫、颈4损伤平面以上、合并多发伤和骨折脱位是颈脊髓损伤患者发生呼吸衰竭的高危因素。Objective To analyze the risk factors of respiratory failure after cervical spinal cord injury （ SCI） . Methods A total of 294 patients with cervical spinal cord injury from January 2009 and December 2013 were analyzed. 52 cases were rolled into the respiratory failure group, 242 cases were rolled into group without respiratory failure. The epidemiological factors in two groups were analyzed to find the the factors of respiratory failure. Results The differences in indexes of smoking, injury reason, injury level, grade of ASIA, fracture dislo-cation were significant （P〈0. 05）, which suggested the above factors were associated with the occurrence of respiratory failure. The multi-factor regression analysis in respiratory group found that factors such as aged over 60 years, smoking, multiple trauma, fracture dislocation, spinal cord injury above C4 level and pamplegia were of statistically significance （P〈0. 10）. Conclusion Advanced age, smoking, pample-gia, spinal cord injury above C4 leve, multiple trauma and fracture dislocation are the high risk factors of the respiratory failure after cervical spinal cord injury.

关 键 词：颈脊髓损伤 呼吸衰竭 危险因素 

分 类 号：R826.64[医药卫生—临床医学]