Influencing factors of acute encephalocele in patients with severe craniocerebral injury treated by decompressive craniectomy
Objective:To analyze influencing factors of acute encephalocele in patients with severe craniocerebral injury treated by decompressive craniectomy.Methods:The clinical data of 92 patients with severe craniocerebral injury treated by decompressive craniectomy in this hospital from September 2021 to September 2023 were retrospectively analyzed.The occurrence of acute encephalocele was statistically analyzed.They were divided into occurrence group and non-occurrence group according to whether acute encephalocele occurred.The general data of the two groups were compared.Multivariate Logistic regression was used to analyze the influencing factors of acute encephalocele in the patients with severe craniocerebral injury treated with decompressive craniectomy.Results:The incidence of acute encephalocele in the patients with severe craniocerebral injury treated by decompressive craniectomy was 19.57%(18/92).The proportions of the time from injury to operation≥6 h,important organ tissue injury,preoperative Glasgow Coma Score(GCS)score of 3-5 points,diffuse cerebral swelling,preoperative hypoxemia and brainstem injury in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P＜0.05).Multivariate Logistic regression analysis showed that the time from injury to operation≥6 h,important organ tissue injury,preoperative GCS score 3-5 points,diffuse cerebral swelling,preoperative hypoxemia and brainstem injury were all risk factors for acute encephalocele in the patients with severe craniocerebral injury treated by decompressive craniectomy(OR＞1,P＜0.05).Conclusions:The time from injury to operation≥6 h,important organ tissue injury,preoperative GCS score 3-5 points,diffuse cerebral swelling,preoperative hypoxemia and brainstem injury are the risk factors for acute encephalocele in the patients with severe craniocerebral injury treated by decompressive craniectomy.
Severe craniocerebral injuryDecompressive craniectomyAcute encephaloceleInfluencing factor
万方数据
维普
