摘要
目的分析非重型颅脑外伤(sTBI)病人发生低钠血症的影响因素。方法采用前瞻性研究方式,选取2017年1月~2022年12月于本院就诊的非sTBI[格拉斯哥昏迷量表(GCS)评分9~15分]病人82例,根据入院7天内是否发生低钠血症将其分为伴发组(30例)、无伴发组(52例)。经多因素逐步logistic回归法分析非sTBI病人发生低钠血症的影响因素。结果多因素逐步logistic回归分析显示,GCS评分≤12分、颅底骨折、蛛网膜下腔出血、发热、呕吐、使用脱水剂均为非sTBI病人发生低钠血症的危险因素(P<0.05)。结论GCS评分≤12分、颅底骨折、蛛网膜下腔出血、发热、呕吐及使用脱水剂为非sTBI病人发生低钠血症的危险因素。
Objective To analyze the influencing factors of hyponatremia in patients with non-severe traumatic brain injury(sTBI).Methods A prospective study was conducted to select 82 non-STBI patients who were admitted to our hospital from January 2017 to December 2022,and divided them into a group with hyponatremia(30 cases)and a group without hyponatremia(52 cases)according to whether they developed hyponatremia within 7 days of admission.The influencing factors of hyponatremia in patients with non-sTBI were analyzed by multivariate stepwise logistic regression.Results Multivariate stepwise logistic regression analysis showed that GCS≤12 points,skull base fracture,subarachnoid hemorrhage,fever,vomiting,and use of diuretics were all risk factors for hyponatremia in patients with non-sTBI(P<0.05).Conclusion GCS≤12 points,skull base fracture,subarachnoid hemorrhage,fever,vomiting and use of diuretics are all risk factors for hyponatremia in patients with non-sTBI.
作者
孙杰
李刚
伍万里
赵磊
秦勤
杜书迪
SUN Jie;LI Gang;WU Wanli;ZHAO Lei;QIN Qin;DU Shudi(Department of Neurosurgery,Guihang Guiyang Hospital,Guiyang,Guizhou 550006,China)
出处
《临床外科杂志》
2025年第11期1148-1150,共3页
Journal of Clinical Surgery
基金
贵州省科技计划项目(黔科合基础-ZK[2022]一般655)。
关键词
非重型颅脑外伤
低钠血症
颅底骨折
蛛网膜下腔出血
non-severe traumatic brain injury
hyponatremia
skull base fracture
subarachnoid hemorrhage
