中重型颅脑损伤继发外伤性脑梗死的影响因素分析与防护对策

Analysis of influencing factors and protective countermeasures on posttraumatic cerebral infarction evoked by moderate and severe craniocerebral injury

目的探讨中重型颅脑损伤继发外伤性脑梗死的影响因素,并制定有效的防护对策。方法选取2016年3月至2019年3月我院收治的中重型颅脑损伤患者88例为研究对象,收集患者临床资料,采用单因素分析和多因素logistic回归分析中重型颅脑损伤继发外伤性脑梗死的相关因素。结果本组患者中有9例继发外伤性脑梗死,发生率10.23%。多因素logistic回归分析显示,GCS评分、硬膜下血肿及去骨瓣减压是导致中重型颅脑损伤继发外伤性脑梗死的独立影响因素(P<0.05)。结论明确中重型颅脑损伤继发外伤性脑梗死的主要原因,制定相应的防护对策,才能促进疾病康复,提高生存质量。

Objective To explore the influencing factors of posttraumatic cerebral infarction evoked by moderate and severe craniocerebral injury and to develop effective protective countermeasures.Methods We selected 88 cases of patients with moderate and severe craniocerebral injury admitted to our hospital from March 2016 to March 2019 as a study object.The clinical data were collected and analyzed the related factors of posttraumatic cerebral infarction by univariate analysis and multivariate logistic regression.Results There were 9 cases of the patients that had secondary posttraumatic cerebral infarction with a 10.23%incidence in this group.Multivariate logistic regression analysis showed that the GCS score,subdural hematoma and decompressive craniectomy were independent factors influencing posttraumatic cerebral infarction in patients with moderate and severe craniocerebral injury(P<0.05).Conclusion Identifying the main causes of posttraumatic cerebral infarction in moderate and severe craniocerebral injury,and developing corresponding protective countermeasures,which could promote disease rehabilitation and improve the quality of life.