脑外伤后脑积水发生的风险因素分析

Analysis of Risk Factors of Occurrence of Post-Truaumatic Hydrocephalus

目的探析脑外伤后脑积水发生的风险因素。方法整群选取该院2008年1月—2014年12月收治的62例脑外伤患者,根据患者是否发生脑积水将其分为脑积水组与非脑积水组,各31例,观察脑外伤后脑积水发生的风险因素。结果脑积水组脑挫裂伤发生25例(80.65%),脑室出血24例(77.42%),硬膜下血肿22例(70.96%),昏迷24例(77.42%),开颅手术26例(83.87%),TSAH 8例(25.81%),脑脊液压力升高6例(19.35%)与非脑积水组比较差异显著,P<0.05;Logistic回归分析得知发生脑积水的独立因素是脑室出血、脑脊液压力升高、TSAH及硬膜下血肿。结论脑室出血、脑脊液压力升高、TSAH及硬膜下血肿是脑外伤患者发生脑积水的独立风险因素。

Objective To discuss the risk factors of occurrence of post-truaumatic hydrocephalus. Methods 62 cases of patients with cerebral trauma treated in our hospital from January 2008 to December 2014 were selected and divided into the hydrocephalus group and the non-hydrocephalus group with 31 cases in each according to whether the hydrocephalus occurred or not, the risk factors of occurrence of post-truaumatic hydrocephalus were observed. Results In the hydrocephalus group, 25 cases were with cerebralcontusion and laceration（80.65%）, 24 cases were with ventricular hemorrhage（77.42%）,22 cases were with subdural hematoma（70.96%）, 24 cases were with coma（77.42%）, 26 cases were with craniotomy（83.87%）, 8 cases were with TSAH（25.81%）,6 cases with increased cerebrospinal pressure（19.35%）,which were obviously different from those in the non- hydrocephalus group, P 0.05,Logistic regression analysis showed that the independent factors of occurrence of hydrocephalus were ventricular hemorrhage, increased cerebrospinal pressure, TSAH and subdural hematoma. Conclusion Ventricular hemorrhage, increased cerebrospinal pressure, TSAH and subdural hematoma were the independent risk factors of occurrence of hydrocephalus.