中重型颅脑损伤患者继发脑梗死的危险因素分析  

Analysis of risk factors of cerebral infarction in patients with moderate and severe craniocerebral injury

作　　者：刘飞皎[1] 孙世远[1] Liu Feijiao;Sun Shiyuan(Department of Neurosurgery, the First People’s Hospital of Nanyang, Nanyang 473000)

机构地区：[1]河南省南阳市第一人民医院神经外科,473000

出　　处：《中国现代医药杂志》2017年第4期37-39,共3页Modern Medicine Journal of China

摘　　要：目的探讨中重型颅脑损伤患者继发脑梗死(PTCI)的危险因素。方法选取2012年3月~2015年3月我院收治的中重型颅脑损伤患者468例,采用单因素分析以及Logistic多因素回归分析患者性别、年龄、GCS评分、脑疝、血压、手术、颅底骨折、创伤性蛛网膜下隙出血。结果经单因素分析年龄≥60岁、GCS评分≤8分、脑疝、低血压、创伤性蛛网膜下隙出血5个因素具有统计学差异(P<0.05);经Logistic多因素分析,GCS评分≤8分、脑疝、低血压、创伤性蛛网膜下隙出血4个因素为影响PTCI的独立危险因素。结论 GCS评分、脑疝、低血压、创伤性蛛网膜下隙出血为PTCI独立危险因素。Objective To investigate the risk factors of cerebral infarction in patients with moderate and severe craniocerebral injury.Methods From Mar2012to Mar2015,468patients with moderate and severe craniocerebral injury in our hospital were selected.Sex,age,GCS score,hernia cerebri,blood pressure,surgery,skull base fractures and traumatic subarachnoid hemorrhage were compared by single factor analysis and Logistic regression analysis.Results By single factor analysis,5factors of age more than60years old,GCS score less than8points,hernia cerebri,hypotension,and traumatic subarachnoid hemorrhage were statistically significant(P<0.05).Through Multivariate Logistic analysis4factors of GCS score less than8points,hernia cerebri,hypotension and traumatic subarachnoid hemorrhage were independent risk factors for PTCI.Conclusion GCS score,hernia cerebri,hypotension and traumatic subarachnoid hemorrhage are independent risk factors for PTCI.

关 键 词：中重型颅脑损伤 脑梗死 危险因素 

分 类 号：R651.15[医药卫生—外科学]