腰椎间盘突出症术后脑脊液漏因素分析

Regression Analysis of Cerebrospinal Fluid Leakage After Lumbar Disc Herniation

目的探究腰椎间盘突出症术后脑脊液漏的多因素Logistic回归分析及护理策略。方法选取2012年1月~2017年8月期间来三门峡武强颈肩腰腿痛医院手术治疗的腰椎间盘突出症患者500例,按照术后是否发生脑脊液漏进行分组,68例患者发生脑脊液漏,作为观察组;其余432例无脑脊液漏,作为对照组,进行因素分析,观察术后脑脊液漏发生的影响因素。结果两组年龄、翻修手术、最低手术节段、手术节段数、病程、吸烟面对比具有统计学意义(P<0.05)。等因素均与脑脊液漏有关系。结论年龄、翻修手术、最低手术节段、手术节段数、病程等因素都可能引起脑脊液漏,在临床中应积极采取有效的应对措施。

Objective To investigate the multifactor Logistic regression analysis and nursing strategies of postoperative cerebrospinal fluid leakage after lumbar disc herniation.Methods 500 cases of patients with surgical treatment of lumbar intervertebral disc protrusion from January 2012 to August 2017 in our hospital were selected as study objects,then were grouped according to whether postoperative cerebrospinal fluid leakage occurred.68 cases of patients with cerebrospinal fluid leakage were as the observation group;The other 432 cases who had no cerebrospinal fluid leakage were as a control group,factor analysis was carried out to observe the factors influencing the occurrence of cerebrospinal fluid leakage.Results The ages,renovations,minimum operative period,number of surgical segments,disease duration and smoking of two groups patients were statistically significant(P<0.05).Conclusion The age,renovations,minimum operative period,number of surgical segments,and course of disease may cause cerebrospinal fluid leakage,and effective countermeasures should be taken in clinic.