临床外科杂志 ›› 2025, Vol. 33 ›› Issue (11): 1148-1150.doi: 10.3969/j.issn.1005-6483.20241450

• 论著 • 上一篇    下一篇

非重型颅脑外伤病人发生低钠血症的影响因素分析

  

  1. 550006  贵州贵阳,贵航贵阳医院神经外科
  • 收稿日期:2025-09-02 接受日期:2025-09-02 出版日期:2025-11-20 发布日期:2025-11-20
  • 基金资助:
    贵州省科技计划项目(黔科合基础-ZK[2022]一般655)

Influencing factors of hyponatremia in patients with non-severe traumatic brain injury

  1. Department of Neurosurgery,Guihang Guiyang Hospital,Guiyang,Guizhou 550006,China
  • Received:2025-09-02 Accepted:2025-09-02 Online:2025-11-20 Published:2025-11-20

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。

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

Abstract: 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.

Key words: non-severe traumatic brain injury, hyponatremia, skull base fracture, subarachnoid hemorrhage

[1] 刘飞 刘军军 宋家玉 许海宴 印山河 王阳春 仝瑞祥 杨卫富. 入院低钠血症对老年肠梗阻病人一年全因死亡的预测价值[J]. 临床外科杂志, 2024, 32(10): 1055-1058.
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