重型颅脑外伤性脑梗死相关危险因素的回归分析

目的：探讨重型颅脑外伤性脑梗死相关危险因素。方法：对245例重型颅脑损伤患者的性别、年龄、是否手术、手术方式、是否合并糖尿病和高血压、脑疝、是否低血压休克、住院时间等18个外伤后脑梗死（PTCI）相关危险因素,进行单因素和非条件Logistic回归分析。结果：PTCI 51例,经单因素和Logistic回归分析可知,年龄、休克或低血压、脑疝及糖尿病为PTCI发生的危险因素（P〈0.05）,活血药物使用为保护因素。结论：年龄、休克或低血压、脑疝及糖尿病为PTCI发生的危险因素,对该病的防治有一定临床意义。

Regression analysis of risk factors of severe head trauma with posttraumatic cerebral infarction

Objective: To investigate risk factors of severe head trauma with posttraumatic cerebral infarction.Methods: 18 risk factors of PTCI of 245 patients with severe head trauma were retrospectively reviewed,including gender,age,whether operation,operating style,whether complicate with hypertension,diabetes and brain herniation,low blood pressure or shock,hospital stay time and so on.The factors were analyzed by univariate and regression analysis.Results: There were 51 cases suffered in PTCI.There were significant relationship between age,low blood pressure or shock,brain herniation,diabetes and PTCI(P<0.05),while the use of blood circulation promoting drugs was a protective factor of PTCI.Conclusion: Age,low blood pressure or shock,brain herniation,diabetes are risk factors to severe head trauma with posttraumatic cerebral infarction,they may have a certain clinical significance to prevent and control of this disease.