重型、特重型颅脑外伤性脑梗死相关危险因素调查分析

Investigation on Related Risk Factors of Severe and Extra Severe Traumatic Brain Injury Cerebral Infarction

目的调查分析引发重型、特重型颅脑外伤性脑梗死的相关危险因素。方法将2010年5月—2016年4月间该院接诊的358例重型、特重型颅脑外伤患者作为研究对象,其中有49例出现外伤性脑梗死,作为实验组;其余309例未出现外伤性脑梗死,作为对照组。将两组患者的年龄、性别、格拉斯哥昏迷指数(GCS)、手术、糖尿病、低血压性休克、脑疝、感染、颅底骨折、低钠血症、脱水药、活血药等因素的调查结果做对比分析,并将单因素调查结果做统计学分析。结果格拉斯哥昏迷指数(GCS)<5的患者中,对照组18.8%,实验组61.2%,差异有统计学意义(P<0.05),、脑疝、糖尿病、感染、低血压性休克、低钠血症、过量使用脱水药、蛛网膜下腔出血等因素与重型、特重型颅脑外伤性脑梗死的发生有关(P<0.05)。结论格拉斯哥昏迷指数(GCS)、脑疝、糖尿病、感染、低血压性休克、低钠血症、过量使用脱水药、蛛网膜下腔出血等因素是重型、特重型颅脑外伤性脑梗死的相关危险因素。

Objective To investigate the related risk factors of severe and extra severe traumatic brain injury cerebral infarction. Methods 358 cases of patients with traumatic brain injury admitted and treated in our hospital from May 2010 to April 2016 were selected as the research objects, 49 cases of patients with traumatic cerebral infarction were selected as the experimental group, while the other 309 cases without the traumatic cerebral infarction were selected as the control group,and the age, gender, GCS, operation, diabetes, hypotension shock, cerebral hernia, infection, basal fracture, hyponatremia,dehydrant and hemorheologic agent of the two groups were compared and analyzed, and the single-factor findings were given the statistical analysis. Results Glasgow coma index（GCS） in 5 of patients, Control group 18.8%, Experimental group61.2%, The difference was statistically significant（P〈0.05）; cerebral hernia, diabetes, infection, hypopiesia shock, hyponatremia, excessive use of dehydrant and subarachnoid hemorrhage were related to the occurrence of severe and extra severe traumatic brain injury cerebral infarction（P〈0.05）. Conclusion The GCS, cerebral hernia, diabetes, infection, hypopiesia shock, hyponatremia, excessive use of dehydrant and subarachnoid hemorrhage are the related risk factors of severe and extra severe traumatic brain injury cerebral infarction.