大连医科大学学报
大連醫科大學學報
대련의과대학학보
JOURNAL OF DALIAN MEDICAL UNIVERSITY
2015年
2期
157-160
,共4页
王博%杨群%张锐%吴春明%马凯%唐开%刘阳%王宏%吕德成%吕巍
王博%楊群%張銳%吳春明%馬凱%唐開%劉暘%王宏%呂德成%呂巍
왕박%양군%장예%오춘명%마개%당개%류양%왕굉%려덕성%려외
急性脊髓损伤%并发症%影响因素
急性脊髓損傷%併髮癥%影響因素
급성척수손상%병발증%영향인소
spinal cord injury%complication%risk factor
目的：探索急性脊髓损伤患者早期并发症的影响因素，为改善该病的预后提供依据。方法收集416例急性脊髓损伤患者的临床资料。统计性别、年龄、损伤类型、损伤节段、是否进行过手术、是否使用激素治疗、是否发生并发症和并发症类型等指标。对所有影响因素先进行单因素分析筛选，计数资料的比较采用χ2检验，将P＜0．05的因素纳入非条件logistic回归模型进行分析，采用backward conditional法；检验水准α＝0．05。结果早期并发症发生率为19．95％，发生较多的为肺部感染，低钠血症，泌尿系统感染和心血管病系统并发症。年龄≥60岁、完全性损伤、损伤节段为颈段及胸段和应用激素为急性脊髓损伤患者发生早期并发症的影响因素。结论急性脊髓损伤早期并发症的发生与年龄、损伤类型、损伤节段和激素治疗有关，应注意预防其并发症发生，改善患者预后。
目的：探索急性脊髓損傷患者早期併髮癥的影響因素，為改善該病的預後提供依據。方法收集416例急性脊髓損傷患者的臨床資料。統計性彆、年齡、損傷類型、損傷節段、是否進行過手術、是否使用激素治療、是否髮生併髮癥和併髮癥類型等指標。對所有影響因素先進行單因素分析篩選，計數資料的比較採用χ2檢驗，將P＜0．05的因素納入非條件logistic迴歸模型進行分析，採用backward conditional法；檢驗水準α＝0．05。結果早期併髮癥髮生率為19．95％，髮生較多的為肺部感染，低鈉血癥，泌尿繫統感染和心血管病繫統併髮癥。年齡≥60歲、完全性損傷、損傷節段為頸段及胸段和應用激素為急性脊髓損傷患者髮生早期併髮癥的影響因素。結論急性脊髓損傷早期併髮癥的髮生與年齡、損傷類型、損傷節段和激素治療有關，應註意預防其併髮癥髮生，改善患者預後。
목적：탐색급성척수손상환자조기병발증적영향인소，위개선해병적예후제공의거。방법수집416례급성척수손상환자적림상자료。통계성별、년령、손상류형、손상절단、시부진행과수술、시부사용격소치료、시부발생병발증화병발증류형등지표。대소유영향인소선진행단인소분석사선，계수자료적비교채용χ2검험，장P＜0．05적인소납입비조건logistic회귀모형진행분석，채용backward conditional법；검험수준α＝0．05。결과조기병발증발생솔위19．95％，발생교다적위폐부감염，저납혈증，비뇨계통감염화심혈관병계통병발증。년령≥60세、완전성손상、손상절단위경단급흉단화응용격소위급성척수손상환자발생조기병발증적영향인소。결론급성척수손상조기병발증적발생여년령、손상류형、손상절단화격소치료유관，응주의예방기병발증발생，개선환자예후。
Objective To study possible risk factors of early complication in Acute Spinal Cord Injury using matched retro-spective study and Logistic regression analysis.Methods Clinical information were collected from 416 spinal cord injury pa-tients,including gender, age, type and level of injury, surgery, glucocorticoid used and early complications.Using chi -square test and single factor analysis,all statistical significant factors (P<0.05) were included into unconditioned logistic regression model.A backward conditional method was used.A p value less than 0.05 was considered as statistically signifi-cant when two-sided tests were performed.Results Incidence rate of early complication was 19.95%.The most common early complications were pulmonary infection,hyponatremia,urinary system infection and cardiovascular system complica-tions.Age≥60,complete spinal cord injury,injury in cervical and thoracic vertebra and glucocorticoid used were risk fac-tors for early complication in acute spinal cord injury.Conclusion Early complication of acute spinal cord injury is affected by age,type and level of injury and glucocorticoid use.
