摘要
目的探讨继发性双侧瞳孔散大颅脑损伤患者手术预后的影响因素。方法回顾性分析了2009年3月～2013年3月入住我院的55例继发性双侧瞳孔散大颅脑损伤患者的临床资料，分别采用Spearman单因素与多元Logistic回归分析的方法影响继发性双侧瞳孔散大颅脑损伤患者手术预后的因素。结果年龄、双侧瞳孔散大至手术减压间隔、GCS运动评分、收缩压、呼吸以及CT表现经单因素分析差异具有统计学意义（P〈0．05或P〈0．01）；将上述因素进行多元Loostic回归分析，得出年龄、GCS运动评分、呼吸及SBP为影响继发性双侧瞳孔散大颅脑损伤患者手术预后的因素。结论影响继发性双侧瞳孔散大颅脑损伤患者手术预后的因素为年龄、GCS运动评分、呼吸及SBP，在实际过程中应对上述因素进行控制，以取得理想的治疗效果。
Objective To investigate the bilateral mydriasis secondary surgery in patients with traumatic brain injury prognostic factors. Methods Fifty-five cases of patients with secondary bilateral mydriasis from March 2009 to March 2013 in our hospital were retrospectively analyzed. Spearman were used univariate and multivariate Logistic regression analysis method affect bilateral mydriasis secondary surgery in patients with traumatic brain injury prognostic factors. Results Age, bilateral mydriasis to surgical decompression interval, GCS score, systolic blood pressure, breathing, and CT findings Univariate analysis was statistically significant （P〈0.05, P 〈0.01 ）; The above factors into multivariate Logistic regression models were eventually screened Age, GCS score, respiratory and SBP affecting the bilateral mydriasis secondary surgery in patients with traumatic brain injury prognostic factors. Conclusion The impact of bilateral mydriasis secondary surgery in patients with traumatic brain injury prognostic factors were age, GCS score,respiration and SBP,in the actual process ,to deal with these factors were controlled in order to play the desired therapeutic effect.
出处
《中国现代医生》
2013年第36期23-24,共2页
China Modern Doctor
关键词
继发性双侧瞳孔散大
颅脑损伤
手术预后
影响因素
Secondary bilateral mydriasis
Traumatic brain injury
Prognosis
Influencing factors
