脑外伤患者术后并发脑梗死相关因素分析与防治

Analysis of factors related traumatic brain injury complicated with postoperative cerebral infarction

目的研究脑外伤患者术后并发脑梗死相关因素及防治方法。方法选择颅脑外伤患者,分为并发脑梗死的观察组和未并发脑梗死的对照组,观察生理应激指标血糖水平和胰岛素水平、心理应急指标NRS、HAMA、HAMD评分。结果观察组从术后第3天起血糖(BG)和胰岛素(Ins)恢复到术前水平,对照组从术后第2天起恢复到术前水平;观察组HAMD评分、HAMA评分、NRS评分均明显高于对照组。结论颅脑外伤及手术引起的应激是导致患者并发脑梗死的重要因素,需要在临床中采用心理干预和疼痛干预措施加以防治。

Objective To study the related factors and prevention methods of traumatic brain injury patients with postoperative cerebral infarction. Methods Patients with traumatic brain injury were collected and divided into the observation group complicated with cerebral infarction, and the control group. Then blood glucose and insulin levels, NRS, HAMA, HAMD score were observed. Results BG and Ins levels of observation group recovered from the third postoperative day, the control group recovered from the second postoperative day; HAMD, HAMA and NRS score of observation group were significantly higher than those in control group. Conclusion stress caused by raniocerebral trauma and operation are important factors which can cause cerebral infarction are important factors in clinic and need psychological and pain intervention to control.