中重度颅脑损伤继发急性脑梗死的危险因素分析  

Risk Factors of Acute Cerebral Infarction Secondary to Severe Craniocerebral Injury

作　　者：张鹰[1] 邱荣佳[1] 罗淼熙 甘永庆[1] 梁武全[1] Zhang Ying;Qiu Rongjia;Luo Miaoxi;Gan Yongqing;Liang Wuquan(Xinyi People＇s Hospital,Maoming 525300,China)

机构地区：[1]广东省信宜市人民医院神经外科,广东茂名525300

出　　处：《哈尔滨医药》2018年第4期318-320,共3页Harbin Medical Journal

摘　　要：目的分析中重度颅脑损伤继发急性脑梗死的危险因素。方法研究对象选取2012年1月至2017年6月收治的90例中重度颅脑损伤患者,记录与继发急性脑梗死相关的危险因素,对危险因素进行多元Logistic回归分析。结果 Logistic多元回归分析结果显示,低血压、颅高压、凝血功能异常、脑疝、入院时GCS评分、糖尿病等是导致中重度颅脑损伤患者继发急性脑梗死的独立危险因素。结论入院时的GCS评分、凝血功能异常、脑疝、合并感染、糖尿病等是导致中重度颅脑损伤患者发生继发性脑梗死的独立危险因素,在临床中应对此类因素高度重视,做好干预措施。Objective To analyze the risk factors of acute cerebral infarction secondary to severe craniocerebral injury.Methods The risk factors of secondary acute cerebral infarction were analyzed by multivariate logistic regression model.The data of 90 patients with moderate to severe traumatic brain injury who were treated between January 2012 and June 2017 were analyzed.Results Logistic regression analysis showed that there were six independent risk factors of acute cerebral infarction in patients with moderate to severe craniocerebral injury.They were cranial hypertension,hypotension,coagulation dysfunction,GCS score at admission,hernia and diabetes mellitus.Conclusion GCS score at admission,herniation,infection,diabetes mellitus and other causes of secondary brain injury in patients with secondary cerebral infarction independent risk factors in the clinical response to such factors attach great importance to good interventions.

关 键 词：中重度颅脑损伤 继发急性脑梗死 相关因素 

分 类 号：R641[医药卫生—外科学]