重症颅脑损伤患者术后NIHSS评分的影响因素分析

目的：分析重症颅脑损伤患者术后NIHSS评分的影响因素。方法：以2013年3月至2015年6月在我院治疗的100例重型颅脑损伤患者为观察对象，采用单因素方差分析、t检验及多重逐步回归分析探讨影响重症颅脑损伤患者术后NIHSS评分的因素。结果：100例患者中轻型神经功能缺损者38例，中型神经功能损伤者46例，重型神经功能缺损者16例；年龄较大、存在呼吸异常、低血压、复合伤、瞳孔散大、瞳孔对光反射消失、颅内血肿量较大、有消化道出血、出现脑积水的患者术后NIHSS评分较高，差异有统计学意义；将单因素分析有意义的因素：年龄、呼吸异常、低血压、复合伤、瞳孔散大、瞳孔对光反射、颅内血肿量、消化道出血、脑积水作为自变量，以患者术后NIHSS评分作为因变量，进行多重逐步回归分析，年龄、颅内血肿量、脑积水进入回归方程。结论：重症颅脑损伤患者术后NIHSS评分受年龄、颅内血肿量和脑积水有密切关系。

Analysis of influencing factors of postoperative NIHSS score in patients with severe craniocerebral injury

Objective: To analyze the inlfuencing factors of NIHSS score in patients with severe brain injury atfer operation. Methods: 100 cases of severe craniocerebral injury patients treated in our hospital from March 2013 to June 2015 were selected as abject, single factor variance analysis, t-test and multiple stepwise regression analysis were used to explore the factors that inlfuent atfer severe craniocerebral injury patients with NIHSS score.Results: Among the 100 cases, 38 cases were mild neurological functional defect, 46 cases were middle nerve function injury, 16 cases were severe neurological deficit; NIHSS score of patients with older age, presence of abnormal breathing, low blood pressure, combined injury, pupil scattered, pupillary light relfex disappeared, intracranial hematoma volume large, digestive tract hemorrhage, hydrocephalus patients was higher, the difference was statistically signiifcant; single factor analysis of meaningful factors: age, abnormal breathing, hypotension, combined injury, pupil scattered, pupil of relfected light, intracranial hematoma, digestive tract hemorrhage, hydrocephalus as independent variables, to postoperative patients with NIHSS score as the dependent variable and multiple stepwise regressionanalysis, age, intracranial hematoma, cerebral water enter the regression equation.Conclusion: hTe NIHSS score of patients with severe craniocerebral injury is closely related to the age, the amount of intracranial hematoma and hydrocephalus.