摘要
目的探讨脑外伤去骨瓣减压术后继发硬膜下积液合并脑积水的相关危险因素。方法选择2014年9月—2015年9月在本院行去骨瓣减压术后继发硬膜下积液的80例脑外伤患者作为研究对象,根据患者是否合并脑积水分为合并脑积水组（n=28）和未合并脑积水组（n=52）。计量资料比较采用t检验,计数资料比较采用χ2检验,相关危险因素运用Logistic模型进行回归分析,P〈0.05为差异有统计学意义。结果两组患者年龄、硬膜下积液诊断时间比较,差异均有统计学意义（t=5.167、24.282,均P〈0.05）;两组患者的骨瓣大小情况比较,差异有统计学意义（P〈0.05）;两组患者纵裂间积液的发生率比较,差异有统计学意义（χ2=18.662,P〈0.05）;两组患者脑室内出血率比较,差异有统计学意义（χ2=4.693,P〈0.05）。硬膜下积液诊断时间、纵裂间积液、脑室出血均为去骨瓣减压术后继发硬膜下积液合并脑积水的危险因素（OR=1.321,95%CI为1.153~1.436;OR=92.055,95%CI为4.657~1 749.558;OR=46.306,95%CI为2.556~833.743）。结论脑外伤去骨瓣减压术后继发硬膜下积液和脑积水的危险因素主要为纵裂积液、脑室出血、硬膜下积液诊断时间。
Objective To explore the risk factors of post-traumatic subdural effusion with hydrocephalus after decompressive craniectomy.Methods 80 patients with subdural effusion after cerebral trauma were selected from September 2014 to September2015.According to patients with or without hydrocephalus,all subjects were divided into two groups.Measurement data was processed by t test,count data was used by chi square test,the risk factors were analyzed by Logistic regression analysis,P〈0.05 was considered statistically significant.Results There were statistical differences of age,time of diagnosis of subdural effusion in two groups（t=5.167,24.282,all P〈0.05）.There was statistical difference of size of bone flap in two groups（P〈0.05）.There were statistical differences of occurrence rate of interhemispheric hygroma and rate of intraventricular hemorrhage in two groups（χ2=18.662,4.693,all P〈0.05）.The time of diagnosis of subdural effusion,interhemispheric hygroma,intraventricular hemorrhage were risk factors of post-traumatic subdural effusion with hydrocephalus after decompressive craniectomy（OR=1.321,95%CI 1.153-1.436;OR=92.055,95%CI 4.657-1 749.558;OR=46.306,95%CI 2.556-833.743）.Conclusion The time of diagnosis of subdural effusion,interhemispheric hygroma,intraventricular hemorrhage were risk factors of post-traumatic subdural effusion with hydrocephalus after decompressive craniectomy.
出处
《社区医学杂志》
2016年第5期10-13,共4页
Journal Of Community Medicine
关键词
脑积水
硬膜下积液
去骨瓣减压术
危险因素
Hydrocephalus
Subdural effusion
Decompressive craniectomy
Risk factors
