摘要
目的分析脑出血患儿发生脑积水的相关影响因素。方法回顾性分析我院2020年5月至2022年5月收治的102例脑出血患儿的临床资料,统计脑积水发生情况,经单因素分析和多因素分析找出脑出血患儿发生脑积水的危险因素。结果102例脑出血患儿发生脑积水16例,发生率为15.69%。脑出血患儿发生脑积水不受其性别、体质量、脑出血侧别的影响(P>0.05),但可能受其年龄、出血部位、颅内感染、开颅手术、住院时长的影响(P<0.05)。Logistic回归分析显示,年龄<8岁、脑室出血、颅内感染、开颅手术及住院时长≥12d是脑出血患儿发生脑积水的高危因素(P<0.05,OR>1)。结论脑出血患儿发生脑积水的风险较高,年龄<8岁、脑室出血、颅内感染、开颅手术及住院时长≥12d为脑出血患儿发生脑积水的高危因素,临床需做好针对性预防,以减少脑积水的发生。
Objective To explore the related influencing factors for the occurrence of hydrocephalus in children with cerebral hemorrhage.Methods The clinical data of 102 children with cerebral hemorrhage admitted to our hospital from May 2020 to May 2022 were retrospectively analyzed,and the occurrence of hydrocephalus was counted.The risk factors for the occurrence of hydrocephalus in children with cerebral hemorrhage were found by univariate analysis and multivariate analysis.Results 16 of 102 children with cerebral hemorrhage developed hydrocephalus,with the incidence rate of 15.69%.The occurrence of hydrocephalus in children with cerebral hemorrhage was not affected by their gender,body mass,and side of cerebral hemorrhage(P>0.05),but may be affected by their age,location of cerebral hemorrhage,intracranial infection,craniotomy,and hospitalization time(P<0.05).Logistic regression analysis showed that age<8 years old,intraventricular hemorrhage,intracranial infection,craniotomy and hospitalization time≥12 days were high risk factors for the occurrence of hydrocephalus in children with cerebral hemorrhage(P<0.05,OR>1).Conclusions The occurrence risk of hydrocephalus in children with cerebral hemorrhage is high.Age<8 years old,intraventricular hemorrhage,intracranial infection,craniotomy and hospitalization time≥12 days are high risk factors for the occurrence of hydrocephalus in children with cerebral hemorrhage.Targeted prevention should be done in clinical practice to reduce the occurrence of hydrocephalus.
作者
张亚辉
丁萌
赵亚楠
杨国卫
ZHANG Yahui;DING Meng;ZHAO Ya'nan;YANG Guowei(Department of Pediatrics,Kaifeng Children's Hospital,Kaifeng 475000,China)
出处
《临床医学工程》
2023年第8期1161-1162,共2页
Clinical Medicine & Engineering
关键词
脑出血
脑积水
影响因素
Cerebral hemorrhage
Hydrocephalus
Influencing factor
