CAJ | 학술논문

目的：探讨老年外伤性脊髓损伤住院患者的并发症及其危险因素。方法回顾性分析2007年1月1日至2011年12月31日，就诊于我院的60岁以上的外伤性脊髓损伤住院患者的年龄、性别、脊髓损伤水平及美国脊髓损伤协会(Americanspinalinjuryassociation，ASIA)评分和并发症。结果136例老年脊髓损伤患者中，39例发生并发症：呼吸系统并发症20例，心血管系统并发症7例，消化系统并发症6例，泌尿系统并发症5例，褥疮5例，感染1例，双下肢痉挛1例，其中8例发生2种以上并发症。感觉评分、运动评分及手术与否与并发症相关( P＜0.05)。运动评分和手术与否是老年脊髓损伤并发症独立危险因素，运动评分与并发症呈负相关(P＜0.05)，手术与否与并发症呈正相关(P＜0.05)。结论呼吸系统并发症是老年脊髓损伤最常见的并发症，易发生多系统并发症。脊损损伤越严重并发症发生率越大，手术会增加早期并发症的发生率。
목적：탐토노년외상성척수손상주원환자적병발증급기위험인소。방법회고성분석2007년1월1일지2011년12월31일，취진우아원적60세이상적외상성척수손상주원환자적년령、성별、척수손상수평급미국척수손상협회(Americanspinalinjuryassociation，ASIA)평분화병발증。결과136례노년척수손상환자중，39례발생병발증：호흡계통병발증20례，심혈관계통병발증7례，소화계통병발증6례，비뇨계통병발증5례，욕창5례，감염1례，쌍하지경련1례，기중8례발생2충이상병발증。감각평분、운동평분급수술여부여병발증상관( P＜0.05)。운동평분화수술여부시노년척수손상병발증독립위험인소，운동평분여병발증정부상관(P＜0.05)，수술여부여병발증정정상관(P＜0.05)。결론호흡계통병발증시노년척수손상최상견적병발증，역발생다계통병발증。척손손상월엄중병발증발생솔월대，수술회증가조기병발증적발생솔。
Objective To investigate the complications and risk factors in senile resident patients with traumatic spinal cord injuries.Methods From January 1, 2007 to December 31, 2011, senile resident patients with traumatic spinal cord injuries were adopted, whose age was more than 60 years old. Their age, gender, spinal cord injury level, American Spinal Injury Association ( ASIA ) scores and complications were retrospectively reviewed. Results There were 136 patients in total. Complications occurred in 39 patients, including respiratory complications in 20 patients, cardiovascular complications in 7 patients, digestive complications in 6 patients, urologic complications in 5 patients, bedsores in 5 patients, infections in 1 patient and spasticity in the lower limbs in 1 patients. The complications with more than 2 kinds of systems involved were found in 8 patients. The sensory score, motor score and surgery or not were correlated to the complications (P<0.05 ). The motor score and surgery or not are considered as the independent risk factors of spinal cord injuries in senile resident patients. A negative correlation existed between the motor score and the complications (P<0.05 ), and a positive correlation was noticed between the surgery or not and the complications (P<0.05 ).Conclusions The most common complications originate from the respiratory system in senile patients with spinal cord injuries, and the complications with multiple systems involved are frequently noticed. More serious the injuries are, higher the incidence rate of complications will be. The incidence rate of early complications will be increased due to the surgery.