Related factors of secondary cerebral infarction and nursing in patients with moderate or severe craniocerebral injury
10.3760/cma.j.issn.1674-2907.2015.27.012
- VernacularTitle:中重型颅脑损伤患者继发脑梗死的相关因素分析及护理对策
- Author:
Xueju ZHANG
1
Author Information
1. 277500 山东省滕州市中心人民医院急诊科
- Keywords:
Moderate or severe craniocerebral injury;
Secondary traumatic cerebral infarction;
Related factors;
Nursing
- From:
Chinese Journal of Modern Nursing
2015;(27):3263-3265,3266
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the related factors of secondary traumatic cerebral infarction ( TCI) and nursing in patients with moderate and severe craniocerebral injury. Methods A total of 585 moderate or severe craniocerebral injury patients were divided into TCI group and non TCI group according to whether TCI occurred. The clinical data of two groups was analyzed with multivariate logistic regression to screen the risk factors. Results There were 57 cases in TCI group accounted for 9. 74%. Single factor analysis showed that age, GCS scores, brain contusion and laceration, associated injury, subdural hematoma, subarachnoid hemorrhage, cerebral hernia and hypotension would significantly influence the occurrence and development of TCI (P<0. 05). Multivariate logistic regression analysis showed, cerebral hernia, hypotension and low GCS score were independent risk factors of TCI occurrence. Conclusions Close attention should be paid on high-risk patients, intracranial pressure monitoring, correct posture, reasonable infusion method and nursing measures in order to maintain cerebral perfusion pressure and reduce the incidence of TCI.
