颅脑创伤后动静脉性脑梗死的相关风险因素

目的探讨颅脑创伤后动、静脉性脑梗死的相关风险因素。方法回顾性分析我院2012-06—2014-11收治的169例中重型颅脑创伤患者的临床资料,分别采用单因素分析和Logistic回归分析对资料进行处理,总结颅脑创伤后影响动脉和静脉损伤的风险因素。结果单因素分析发现,年龄≥60岁、瞳孔散大、中线移位≥10mm、环池消失、GCS评分≤8分、合并伤及低血压是动脉性梗死发生的危险因素(P0.05)。而合并伤、大脑浅静脉损伤及D-二聚体值增高等是静脉性梗死发生的危险因素(P0.05)。Logistic回归分析发现,低血压和瞳孔散大是导致动脉性脑梗死发生的独立危险因素(P0.05),大脑浅静脉损伤是静脉性脑梗死发生的独立危险因素(P0.05)。结论低血压和瞳孔散大是导致动脉性脑梗死发生的独立危险因素,大脑浅静脉损伤是静脉性脑梗死发生的独立危险因素,在颅脑损伤后脑梗死的防治中应加强干预。

Related risk factors for arteriovenous cerebral infarction after craniocerebral trauma

Objective To investigate the related risk factors of arteriovenous cerebral infarction after craniocerebral trauma .Methods We retrospectively analyzed clinical data from 169 cases with moderate-severe craniocerebral trauma in our hospital from June 2012 to December 2014 and performed univariate analysis and multiple-factor Logistic regression analysis to summarize the related risk factors of arterial and venous injuries .Results Univariate analysis showed that age≥60 years old , mydriasis ,midline shift≥10 mm ,central pool disappearance ,GCS scores≤8 points ,associated injuries and low blood pressure were the risk factors for arterial infarction (P<0.05) .And associated injuries ,superficial cerebral venous injury and the in‐crease of D-dimer value were risk factors for venous infarction (P<0.05) .Multiple-factor Logistic regression analysis showed that hypotension and mydriasis were independent risk factors for arterial cerebral infarction (P<0.05) and superficial cerebral venous injury was the independent risk factor for venous cerebral infarction (P<0.05) .Conclusion We should take precau‐tions and interventions against the respective independent risk factors of arterial and venous cerebral infarctions .