分析导致脑外伤后再灌注损伤的临床因素  

Analyze the Clinical Factors of Reperfusion Injury after Brain Injury

作　　者：汝觅禄[1] 文斌[1] RU Mi-lu;WEN Bin(Neurosurgery,Tianshui First People's Hospital,Tianshui,Gansu 741000)

机构地区：[1]甘肃省天水市第一人民医院神经外科,甘肃天水741000

出　　处：《智慧健康》2021年第13期70-72,共3页Smart Healthcare

摘　　要：目的分析导致脑外伤后再灌注损伤的临床因素。方法对我院在2019年6月至2020年6月接收的脑外伤后再灌注损伤患者280例的临床资料进行回顾分析。结果在入院治疗进过复查后,所有患者在CT检查中均显示出存在脑梗死,其中梗死范围较大的有42例患者作为观察组,其余患者均为小范围内的梗死作为对照组。根据GOS评分法的评级划分,观察组患者中有Ⅴ级0例、Ⅳ级3例、Ⅲ级10例、Ⅱ级9例以及Ⅰ级20例,对照组中Ⅴ级有87例、Ⅳ级109例、Ⅲ级35例、Ⅱ级4例以及Ⅰ级3例。在各昏迷评分等级的对比中,观察组Ⅰ级以及Ⅱ级患者出现率显著高于对照组(P<0.05);在评分结果为Ⅲ级的患者人数比例对比中,两组数据并未出现较大的区别(P>0.05);在Ⅳ级和Ⅴ级患者人数比例的对比中,观察组患者显著少于对照组,差异较大(P<0.05)。结论再灌注伤对于正处于治疗中的脑外伤患者是一种具有很强关联性的危险因素,会提高患者死亡或者伤残的概率,给患者带来更为严重的后果。Objective To analyze the clinical factors of reperfusion injury after brain injury.Methods The clinical data of 280 patients with reperfusion injury after brain injury in our hospital from June 2019 to June 2020 were retrospectively analyzed.Results All patients showed cerebral infarction in CT examination after admission treatment.42 patients with large infarct size were selected as the observation group,and the rest patients with small infarct size were selected as the control group.According to the GOS scoring method,there were 0 patients with grade Ⅴ,3 patients with gradeⅣ,10 patients with grade Ⅲ,9 patients with grade Ⅱ and 20 patients with grade Ⅰ in the observation group,and 87 patients with gradeⅤ,109 patients with gradeⅣ,35 patients with grade Ⅲ,4 patients with grade Ⅱ and 3 patients with grade Ⅰ in the control group.In the comparison of coma score levels,the occurrence rate of grade Ⅰ and Ⅱ patients in the observation group was significantly higher than that in the control group(P<0.05).In the comparison of the number of patients with grade Ⅲ score,there was no significant difference between the two groups(P>0.05).In the comparison of the number of patients with grade Ⅳ and Ⅴ,the number of patients in the observation group was significantly less than that in the control group(P<0.05).Conclusion Reperfusion injury is a risk factor with strong correlation for patients with brain injury in treatment,which will increase the probability of death or disability and bring more serious consequences to patients.

关 键 词：临床因素 再灌注损伤 脑外伤 

分 类 号：R651.15[医药卫生—外科学]