CAJ | 학술논문

[目的]通过对外伤后急性弥漫性脑肿胀（PADBS ）的临床流行病学调查，分析其相关危险因素，为制定针对性护理措施提供依据。[方法]对PADBS患者可能的10个危险因素（性别、年龄、受伤至入院时间、着力部位、误吸、低血压、高血压病史、原发脑干伤、合并多发伤、颅底骨折）行Logistic回归分析。[结果]原发脑干伤、有无低血压、着力部位（枕部）、误吸是PADBS的危险因素，高龄是PADBS的保护因素。[结论]护士应关注PADBS的相关危险因素，加强呼吸、循环系统监护，减少误吸，正确实施液体疗法等措施尽量减少PADBS发生。
[목적]통과대외상후급성미만성뇌종창（PADBS ）적림상류행병학조사，분석기상관위험인소，위제정침대성호리조시제공의거。[방법]대PADBS환자가능적10개위험인소（성별、년령、수상지입원시간、착력부위、오흡、저혈압、고혈압병사、원발뇌간상、합병다발상、로저골절）행Logistic회귀분석。[결과]원발뇌간상、유무저혈압、착력부위（침부）、오흡시PADBS적위험인소，고령시PADBS적보호인소。[결론]호사응관주PADBS적상관위험인소，가강호흡、순배계통감호，감소오흡，정학실시액체요법등조시진량감소PADBS발생。
[Objective] To analyze the related risk factors of posttraumatic acute diffuse brain swelling (PAD-BS) through clinical epidemiological survey in order to provide the evidence for the corresponding care strategies .[Methods] Ten possible risk factors(gender ,age ,time from injured to enter hospital ,force position ,aspiration , hypotension ,history of hypertension ,primary brainstem injury ,united injury and basicranial fracture) of patients with PADBS were analyzed by logistic regression analysis .[Results] Primary brainstem injury ,hypotension ,force position(occiput) and aspiration were the risk factors of PADBS .Great age was the protective factor of PADBS .[Conclusion] Nurses should concern about the related risk factors of PADBS .Measures such as respiratory and circulatory monitoring and correct fluid therapy should be taken to reduce the incidence of acute diffuse cerebral swelling in patients with trauma as for as possible .