重型、特重型颅脑损伤外伤性脑梗死相关危险因素分析

摘要

Objective To analyze associated risk factors of the heavy, track, craniocerebral injury caused by traumatic cerebral infarction. Methods 100 cases with craniocerebral injury were selected in our hospital from January 2011 to June 2013 were divided into two groups, 50 cases each group. 50 cases with traumatic cerebral infarction was observation group, another 50 cases of traumatic cerebral infarction was as the control group; age, diabetes mellitus, GCS, evaluation, cerebral hernia, infections, dehydration drug overdose, hypotension, shock and invigorate the circulation of medicine, etc were respectively on the Logistic analyzed.Results Two groups in age, GCS score, surgery, hyponatremia, hernia, infection, diabetes, hyponatremia, skull fracture, compare dehydration drugs and blood medicine applications, the differences were statistically signiifcant (P <0.05). Correlation analysis showed that age, herniation, GCS score, diabetes, infection, hypotension, dehydration, extensive use of drugs, blood drug application, were associated with the occurrence of traumatic cerebral infarction relevant.Conclusion The main main correlation factor of heavy, track, craniocerebral injury of traumatic cerebral infarction is treatment drug overdose, and in the use of invigorate the circulation of medicine can provide very good for clinical diagnosis and treatment.%目的：分析重型、特重型颅脑损伤造成外伤性脑梗死相关危险因素。方法选取自2011年1月～2013年6月在湖南省武冈县人民医院进行重型、特重型颅脑的外伤患者100例，对其进行分为观察组和对照组（n=50）。观察组为外伤性的脑梗死患者，对照组无外伤性的脑梗死，分别对其进行Logistic分析，其主要的分析项目为年龄、合并糖尿病、GCS（格拉斯哥昏迷指数）评价、脑疝、感染、脱水药过量、低血压休克以及活血药等。结果2组患者在年龄、GCS评分、手术、低钠血症、脑疝、感染、糖尿病、低钠血症、颅底骨折、脱水药及活血药应用方面比较，差异均具有统计学意义（P<0.05）。相关性分析显示年龄、脑疝、GCS评分、合并糖尿病、感染、低血压休克、脱水药大量使用、活血药应用，均与外伤性脑梗死的发生具有相关性。结论造成重型、特重型颅脑损伤外伤性脑梗死的主要相关性的因素主要是治疗药物的过量，而且在使用活血药的时候能够为临床的诊治提供很好的。