双额叶挫裂伤后患者病情恶化的相关危险因素分析  

Risk factors related to the deterioration of patients'condition after bilateral frontal lobe contusion and laceration

作　　者：李志营[1] LI Zhiying(Department of Neurosurgery,Zhengzhou Seventh People's Hospital,Zhengzhou,Henan 450006,China)

机构地区：[1]郑州市第七人民医院神经外科,河南郑州450006

出　　处：《中国医学工程》2021年第1期26-28,共3页China Medical Engineering

摘　　要：目的探讨双额叶挫裂伤后患者的病情恶化相关危险因素分析。方法回顾性分析2018年10月至2019年9月在郑州市第七人民医院救治的82例挫裂伤患者,根据患者伤后病情进展情况分为稳定组58例和恶化组24例。对其相关危险因素进行相关性分析。结果两组性别、年龄、高血压和糖尿病因素与双额叶挫裂伤后病情恶化无相关性(P>0.05)。两组GCS评分和硬膜下血肿、硬膜外血肿、蛛网膜下腔出血、颅骨骨折比较,差异无统计学意义(P>0.05)。两组双侧侧脑室夹角、血钠水平和Marshall CT分级与双额叶挫裂伤后病情恶化具有相关性(P<0.05)。经一般因素和损伤因素的单因素分析,双额叶挫裂伤患者双侧侧脑室夹角100°~120°、双侧侧脑室夹角>120°、轻度低钠、中度低钠和Marshall CT≥Ⅲ级与病清恶化有相关性(P<0.05)。将具有相关性的危险因素进行Logistic多因素回归分析,双额叶挫裂伤患者的双侧侧脑室夹角>120°和中度低钠是病情恶化的独立危险因素(P<0.05)。结论双额叶挫裂伤患者的双侧侧脑室夹角>120°和中度低钠是其病情恶化的独立危险因素,对其治疗过程中做好预防措施有助于提高治疗效果。【Objective】To explore the risk factors for the deterioration of the condition after bilateral frontal lobe contusion.【Methods】The data of 82 cases of contusion and laceration treated in our hospital from October 2018 to September 2019 were analyzed retrospectively.According to the progress of patients'condition after injury,they were divided into 58 cases in the stable group and 24 cases in the worsening group,and the correlation analysis of relevant risk factors was carried out.【Results】There was no correlation between gender,age,hypertension,and diabetic factors in two groups of patients and the deterioration of the condition after bifrontal contusion(P>0.05).The bilateral ventricle angle,blood sodium level,and Marshall CT grading were related to the worsening of the condition after bifrontal contusion and laceration(P<0.05).Logistic multivariate regression analysis showed that the bilateral ventricle angle of the bifrontal contusion and laceration>120°and moderately low sodium were independent risk factors for disease progression(P<0.05).【Conclusion】In patients with bifrontal contusion and laceration,the bilateral ventricle angle>120°and moderately low sodium are independent risk factors for the worsening of the disease.Taking preventive measures during the treatment process can help improve the treatment effect.

关 键 词：额叶 颅脑损伤 外科手术 危险因素 

分 类 号：R741.05[医药卫生—神经病学与精神病学]