CAJ | 학술논문

目的：分析颅脑损伤患者继发急性胃肠损伤( AGI)的危险因素。方法回顾分析2010年1月至2013年12月在皖南医学院附属黄山市人民医院重症医学科住院的239例颅脑损伤患者的临床资料,并进行统计学分析。结果231例患者(96．65%)发生AGI,其中Ⅰ级180例,Ⅱ级49例,Ⅲ级2例；无AGI 8例(3．35%)。合并低灌注153例,合并高血压23例,合并糖尿病4例。格拉斯哥昏迷评分( GCS评分)是AGI发生的高危因素,合并糖尿病、高血压及低灌注等与AGI关联度不高。结论颅脑损伤后,AGI的严重程度与颅脑损伤的严重程度有关,GCS评分是发生AGI的独立危险因素。
목적：분석로뇌손상환자계발급성위장손상( AGI)적위험인소。방법회고분석2010년1월지2013년12월재환남의학원부속황산시인민의원중증의학과주원적239례로뇌손상환자적림상자료,병진행통계학분석。결과231례환자(96．65%)발생AGI,기중Ⅰ급180례,Ⅱ급49례,Ⅲ급2례；무AGI 8례(3．35%)。합병저관주153례,합병고혈압23례,합병당뇨병4례。격랍사가혼미평분( GCS평분)시AGI발생적고위인소,합병당뇨병、고혈압급저관주등여AGI관련도불고。결론로뇌손상후,AGI적엄중정도여로뇌손상적엄중정도유관,GCS평분시발생AGI적독립위험인소。
Objective To study the risk factors of acute gastrointestinal injury( AGI) in patients with brain injury. Methods A to-tal of 239 cases with brain injury were admitted from January 2010 to December 2013, and statistical analyses of the data from all cases were performed retrospectively. Results 231 cases presented with AGI, 180 patients was classified as stageⅠ, 49 patients in stageⅡand 2 pa-tients in stageⅢ;8 cases had no AGI (3. 35%). 153 cases were with hypoperfusion, 23 cases with hypertension, and 4 cases with diabetes mellitus. The univariate. Glasgow coma scale( GCS) was associated with AGI in patients with brain injury significantly, but hypertention, dia-betes mellitus and hypoperfusion were not associated with AGI significantly. Conclusion The patients with brain injury have high incidence of AGI, and the severity of brain injury and AGI are positively correlated. GCS is the independent risk factor for AGI.