CAJ | 학술논문

目的探讨创伤性颈脊髓损伤患者早期死亡原因和危险因素.方法回顾性分析553例创伤性颈脊髓损伤患者的临床资料,对影响因素进行单因素分析和多因素Logistic回归分析.结果早期死亡率4.0%(22/553).主要死亡原因为呼吸功能衰竭9例(40.9%)和电解质紊乱5例(22.7%).单因素分析发现年龄、颈脊髓损伤程度、呼吸、心血管和消化系统、电解质紊乱并发症、气管切开与颈脊髓损伤患者早期死亡有一定相关性(P<0.05).多因素Logistic回归分析发现危险因素有年龄、颈脊髓损伤程度、呼吸和心血管系统、电解质紊乱并发症、气管切开.结论高年龄、颈脊髓损伤程度重、合并呼吸或心血管系统以及电解质紊乱并发症、气管切开是颈脊髓损伤患者早期死亡的高危因素.
목적 탐토창상성경척수손상환자조기사망원인화위험인소.방법회고성분석553례창상성경척수손상환자적림상자료,대영향인소진행단인소분석화다인소Logistic회귀분석.결과조기사망솔4.0%(22/553).주요사망원인위호흡공능쇠갈9례(40.9%)화전해질문란5례(22.7%).단인소분석발현년령、경척수손상정도、호흡、심혈관화소화계통、전해질문란병발증、기관절개여경척수손상환자조기사망유일정상관성(P<0.05).다인소Logistic회귀분석발현위험인소유년령、경척수손상정도、호흡화심혈관계통、전해질문란병발증、기관절개.결론 고년령、경척수손상정도중、합병호흡혹심혈관계통이급전해질문란병발증、기관절개시경척수손상환자조기사망적고위인소.
Objective To explore the causes and risk factors affecting early death in patients with traumatic cervical spinal cord injury (SCI). Methods Clinical data of 553 patients with traumatic cervical SCI were analyzed retrospectively to discuss the related factors affecting early death of patients with traumatic cervical SCI by using univariate analysis and multivariate logistic regression analysis. Results The early mortality of the patients with traumatic cervical SCI was 4.0% ( 22/553 ). The main causes of the early death were respiratory failure in nine patients (40.9%) and electrolyte disorders in five (22.7%). Univariate analysis showed that age, cervical spinal cord injury severity, complications in respiratory, cardiovascular, digestive systems and electrolyte disturbance as well as tracheotomy were considered statistically significant for early death in patients with traumatic cervical SCI ( P < 0, 05 ). Multivariate logistic regression analysis showed that age, cervical SCI severity, complications in respiratory,cardiovascular system and electrolyte disturbance as well as tracheotomy. Conclusion Severe cervical SCI, combined respiratory, cardiovascular system and electrolyte disorder complications as well as tracheotomy are high risk factors for the early death in patients with traumatic cervical SCI.