中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
2期
211-212
,共2页
脑出血%颅脑外伤%危险因素%去骨瓣减压术
腦齣血%顱腦外傷%危險因素%去骨瓣減壓術
뇌출혈%로뇌외상%위험인소%거골판감압술
Cerebral hemorrhage%Head injury%Risk factors%Decompressive craniectomy
目的：探讨重型颅脑颅脑损伤去骨瓣减压术后再发血肿的危险因素。方法：对2010年8月~2012年8月在我科室住院的192例患者资料进行回顾性分析,探讨分析术后再发血肿的危险因素。结果：研究组良好10例(15.15%),轻/中残21例(31.82%),重残20例(30.30%),植物生存/死亡15例(22.73%)。对照组良好58例(46.03%),轻/中残27例(21.43%),重残19例(15.07%),植物生存/死亡22例(17.46%)。研究组治疗效果明显差于对照组,差异有统计学意义(P<0.05)。昏迷(OR=3.56,95% CI=1.66~7.65)、Babinsiki征阳性(OR=2.86,95%CI=2.07~9.16)、空腹血糖≥110mg/dL(OR=2.27,95%CI=1.24~4.17)和初发血肿量≥50ml (OR=1.92,95%CI=1.17~3.13)是再发血肿发生的危险因素。结论：昏迷、Babinsiki征阳性、空腹血糖和初发血肿量是重型颅脑去骨瓣减压术后再发出血的独立危险因素。
目的：探討重型顱腦顱腦損傷去骨瓣減壓術後再髮血腫的危險因素。方法：對2010年8月~2012年8月在我科室住院的192例患者資料進行迴顧性分析,探討分析術後再髮血腫的危險因素。結果：研究組良好10例(15.15%),輕/中殘21例(31.82%),重殘20例(30.30%),植物生存/死亡15例(22.73%)。對照組良好58例(46.03%),輕/中殘27例(21.43%),重殘19例(15.07%),植物生存/死亡22例(17.46%)。研究組治療效果明顯差于對照組,差異有統計學意義(P<0.05)。昏迷(OR=3.56,95% CI=1.66~7.65)、Babinsiki徵暘性(OR=2.86,95%CI=2.07~9.16)、空腹血糖≥110mg/dL(OR=2.27,95%CI=1.24~4.17)和初髮血腫量≥50ml (OR=1.92,95%CI=1.17~3.13)是再髮血腫髮生的危險因素。結論：昏迷、Babinsiki徵暘性、空腹血糖和初髮血腫量是重型顱腦去骨瓣減壓術後再髮齣血的獨立危險因素。
목적：탐토중형로뇌로뇌손상거골판감압술후재발혈종적위험인소。방법：대2010년8월~2012년8월재아과실주원적192례환자자료진행회고성분석,탐토분석술후재발혈종적위험인소。결과：연구조량호10례(15.15%),경/중잔21례(31.82%),중잔20례(30.30%),식물생존/사망15례(22.73%)。대조조량호58례(46.03%),경/중잔27례(21.43%),중잔19례(15.07%),식물생존/사망22례(17.46%)。연구조치료효과명현차우대조조,차이유통계학의의(P<0.05)。혼미(OR=3.56,95% CI=1.66~7.65)、Babinsiki정양성(OR=2.86,95%CI=2.07~9.16)、공복혈당≥110mg/dL(OR=2.27,95%CI=1.24~4.17)화초발혈종량≥50ml (OR=1.92,95%CI=1.17~3.13)시재발혈종발생적위험인소。결론：혼미、Babinsiki정양성、공복혈당화초발혈종량시중형로뇌거골판감압술후재발출혈적독립위험인소。
Objective:To investigate risk factors of posttraumatic cerebral infarction in patients with severe head injury and put forward the corresponding countermeasures.Methods:During August 2010 to August 2012,192 cases were retrospectively analyzed to find risk factors of postoperative hematoma recurrence.Results:Study group:10 cases (15.15%) were good prognosis,21 cases (31.82%) were light / moderate disability,20 cases (30.30%) were severe disability and 15 cases (22.73%) were plants survival / death.Control group:58 cases (46.03%) were good prognosis,27 cases (21.43%) were light/moderate disability,19 cases (15.07%) were severe disability and 22 cases (17.46%) were plants survival/death.Severe disability and mortality rates of study group were significantly higher than control group(P<0.05).Multivariate Logistic regression analysis showed that coma (OR=3.56,95%CI=1.66~7.65),positive Babinsiki sign (OR=2.86,95%CI=2.07~9.16),fasting blood glucose≥110mg/dL(OR=2.27,95%CI=1.24~4.17) and onset the hematoma volume≥50ml (OR=1.92,95%CI=1.17~3.13) were risk factors for recurrent hematoma.Conclusion:Coma,positive Babinsiki sign,blood glucose and the initial issuance of the hematoma volume are independent risk factors for postoperative hematoma recurrence after evacuation of patients with severe head injury.
