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目的:探讨并分析急性颈髓损伤患者并发低钠血症的高危因素,并针对高危因素提出防治对策。方法:2008年1月至2014年6月本院诊治369例急性颈脊髓损伤患者按有无并发低钠血症将研究对象分为两组:低钠血症组和对照组(正常血钠组),研究分析年龄、性别、高热、感染、颈髓损伤平面、损伤机制、治疗方法、饮食障碍、呼吸机使用等对急性颈髓损伤并发低钠血症发生的影响,采用Logistic多元回归分析及单因素分析相关因素产生的影响。结果:在相关的影响因素中单因素分析表明高热、感染、颈髓损伤平面和程度、呼吸机使用、饮食障碍对低钠血症是否发生具有显著影响,按OR值由大到小排列分别是:Frankel分级、损伤平面、感染、高热。结论:急性颈髓损伤并发低钠血症发病的独立影响因素主要有高热、感染、颈髓损伤平面和程度等,应及时干预相关因素,降低急性颈髓损伤并发低钠血症的发生率。
Objective: To investigate and analyze the risk factors of hyponatremia in patients with acute cervical cord injury, and to put forward the prevention and cure countermeasures to the high risk factors. Methods: From January 2008 to June 2014, 369 patients with acute cervical spinal cord injury undergoing surgery in our hospital were divided into two groups according to the presence or absence of hyponatremia: hyponatremia group and control group (normal sodium group ) To study the impact of age, gender, fever, infection, cervical spinal cord injury plane, injury mechanism, treatment methods, eating disorders, ventilator use on the occurrence of acute cervical spinal cord injury with hyponatremia. Logistic multiple regression analysis and Univariate analysis related to the impact of factors. Results: Univariate analysis showed that fever, infection, level and degree of cervical spinal cord injury, ventilator use and eating disorders had a significant effect on whether hyponatremia occurred or not Frankel grading, plaque damage, infection, high fever. CONCLUSION: The independent factors affecting the incidence of acute cervical spinal cord injury and hyponatremia are mainly fever, infection, the level and extent of cervical spinal cord injury, and other relevant factors should be promptly intervened to reduce the incidence of acute cervical spinal cord injury with hyponatremia.