中重度颅脑损伤继发急性脑梗死的预后不良相关因素的Logistic分析

发布时间：2018-04-25 15:20

  本文选题：中重度颅脑损伤 + 急性脑梗死　； 参考：《牡丹江医学院学报》2016年06期

【摘要】：目的分析中重度颅脑损伤继发急性脑梗死的相关危险因素和预后。方法选取我院2011年1月至2016年1月收治的200例中重度颅脑损伤患者,根据有无继发急性脑梗死分为观察组和对照组,观察组为25例继发急性脑梗死患者,对照组175例患者未继发急性脑梗死,探讨中重度颅脑损伤继发急性脑梗死的相关危险因素,以及对患者预后的影响。结果经Logistic回归分析,入院时GCS评分、脑疝、颅内高压、低血压、DIC评分是中重度颅脑损伤继发急性脑梗死的独立危险因素;入院时GCS评分(3~5分)、低血压、脑疝、感染、DIC评分(≥5分)、继发急性脑梗死是颅脑损伤患者预后不良的独立危险因素。200例患者经治疗后,GOS评分1分、2分、3分、4分、5分患者分别为8例、4例、22例、110例、56例,预后不良共34例。结论影响中重度颅脑损伤继发急性脑梗死的因素较多,包括入院GCS评分、低血压、颅内高压、脑疝、DIC评分。低血压、脑疝、感染、继发急性脑梗死、入院CGS 3~5分、DIC≥5分的患者大多预后不良,致残率较高,临床应高度重视此类患者,制定合理的诊断和治疗方案,从而减少预后不良,降低死亡率,提高治疗效果。
[Abstract]:Objective to analyze the risk factors and prognosis of acute cerebral infarction secondary to moderate and severe craniocerebral injury. Methods from January 2011 to January 2016, 200 patients with moderate and severe craniocerebral injury were divided into observation group and control group according to the presence or absence of secondary acute cerebral infarction. The observation group consisted of 25 patients with secondary acute cerebral infarction. In the control group 175 patients without acute cerebral infarction (ACI) were studied to explore the risk factors associated with acute cerebral infarction secondary to moderate and severe craniocerebral injury and its influence on the prognosis of the patients. Results by Logistic regression analysis, GCS score, cerebral hernia, intracranial hypertension and hypotension score were independent risk factors for acute cerebral infarction secondary to moderate and severe craniocerebral injury, GCS score at admission was 3 ~ 5, hypotension, cerebral hernia. DIC score (鈮，

本文编号：1801882