摘要
目的探讨创伤性颅脑损伤患者行去骨瓣减压术后常见的并发症,分析诱发并发症的危险因素。方法选取我院2015年1月~2018年12月行去骨瓣减压术治疗的创伤性颅脑损伤患者110例为研究对象,观察术后并发症发生病例,应用多元逻辑回归学分析引发相关并发症的危险因素。结果(1)110例患者术后并发症发生率为39.09%;(2)单因素分析:患者术后并发症与年龄、入院时GCS评分、损伤类型、瞳孔变化、血肿量、血肿位置、CT环池状态、中线移位、骨瓣大小、血液流变学、手术时间、侵入性操作密切相关;(3)多因素分析:开放性损伤、硬膜下血肿、血肿量多、大面积骨瓣、手术时间过晚均是诱发术后并发症的危险因素。结论创伤性颅脑损伤患者去骨瓣减压术后发生并发症的风险较高,医护人员应予以警惕,尽可能改善预后。
Objective To explore common complications of decompressive craniectomy in patients with traumatic craniocerebral injury and analyze risk factors for induced complications.Methods 110 patients with traumatic craniocerebral injury who underwent decompressed craniectomy in our hospital from January 2015 to December 2018 were selected as research objects.The postoperative complications were observed and multiple risk logistic regression analysis was used to analyze the risk factors associated with the complications.Results(1)The incidence of postoperative complication in 110 patients was 39.09%.(2)Univariate analysis showed that postoperative complications were closely associated with age,Glasgow coma scale(GCS)score on admission,injury type,pupillary changes,hematoma volume,hematoma location,ambiens cisterna of CT,midline shift,size of bone flap,hemorheology,operation time and invasive operation.(3)Multivariate analysis showed that open injury,subdural hematoma,large amount of hematoma,large area of bone flap,too late for operation were all risk factors of complications.Conclusion Patients with traumatic craniocerebral injury have a higher risk of complications after decompressive craniectomy,and medical staff should be alert to improve prognosis as much as possible.
作者
刘倩绫
罗效萍
LIU Qianling;LUO Xiaoping(Department of Neurosurgery,the First People's Hospital of Honghe Autonomous Prefecture,Yunnan,Mengzi 661199,China)
出处
《中国医药科学》
2019年第17期185-188,共4页
China Medicine And Pharmacy
关键词
创伤性颅脑损伤
去骨瓣减压术
术后并发症
危险因素
Traumatic craniocerebral injury
Decompressive craniectomy
Postoperative complications
Risk factors
