[1]王欢景 王 华 何卫春 闻 峰 陆 明 郭春华.颅脑损伤并发垂体前叶功能减退的危险因素[J].中国临床神经外科杂志,2020,(05):318-320.[doi:10.13798/j.issn.1009-153X.2020.05.021]
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颅脑损伤并发垂体前叶功能减退的危险因素()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年05期
页码:
318-320
栏目:
经验介绍
出版日期:
2020-05-25

文章信息/Info

文章编号:
1009-153X(2020)05-0314-03
作者:
王欢景 王 华 何卫春 闻 峰 陆 明 郭春华
215600 江苏,张家港市中医医院神经血管外科(王欢景、王 华、何卫春、闻 峰、陆 明、郭春华)
关键词:
颅脑损伤垂体前叶功能减退危险因素
分类号:
R 651.1+5
DOI:
10.13798/j.issn.1009-153X.2020.05.021
文献标志码:
B
摘要:
目的 探讨颅脑损伤病人并发垂体前叶功能减退的危险因素。方法 回顾性分析2017年3月~2019年3月收治的110例颅脑损伤的临床资料,采用多因素logistic回归分析检验垂体前叶功能减退的危险因素。结果 110例中,40例(36.36%)并发垂体前叶功能减退,其中甲状腺功能减退25例(22.72%),性腺功能减退8例(7.27%),生长激素缺乏7例(6.36%),促肾上腺皮质激素(ACTH)缺乏5例(4.54%),且5例(4.54%)并发两种激素缺乏。多因素logistic回归分析显示颅内压增高、入院GCS评分≤8分、颅底骨折及弥漫性脑水肿是颅脑损伤病人并发垂体前叶功能减退的独立危险因素(P<0.05)。结论 早期评估病情、有效治疗干预、及时降颅内压治疗可能是降低颅脑损伤病人垂体前叶功能减退发生率的有效措施

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:王 华,E-mail:flywx217@163.com (2019-10-17收稿,2019-10-30修回)
更新日期/Last Update: 1900-01-01