Clinical Analysis Of Early Complications And Risk Factors In Patients With Acute Spinal Cord Injury

[Objective]To investigate the incidence and its risk factors for the early complications in the patients with traumatic spinal cord injury (TSCI).[Methods]Clinical information of895patients with TSCI was analyzed retrospectively. And related factors for complications in patients with TSCI were analyzed on univariate analysis and multivariate logistic regression analysis. According to the literature and clinical observations, selection may affect SCI patients complicated with early complications of6factors including gender, age, degree of SCI segment and injury, surgical operation, corticosteroids are used for single factor analysis, and then the single factor analysis showed that the difference was statistically significant associated factors in a multivariate Logistic regression analysis.[Results]Early complications in group (n=178):the male153, female25cases; age16～87years, an average of46.56+/-14.36years; all81cases of injury, incomplete spinal injury in97cases of cervical spinal cord injury; segment; in135cases, thoracic spinal cord in26cases,17cases of lumbar spinal cord. In178SCI patients complicated with early complications, the incidence was19.9%(178/895), early complications include respiratory complications in93cases (32.7%), urinary tract infection in54cases (19%), electrolyte disorders in49cases (17.3%), cardiovascular system complication in42cases (14.8%), wound infection in15cases (5.3%), digestive system complications in14cases (4.9%),13cases with deep vein thrombosis (4.6%),4cases of pulmonary embolism (1.4%). Among the72patients with two complications,17cases of patients with three kinds of complications.Early complication incidence was19.9%. Univariate analysis showed:level of SCI and surgery or not were considered statistically significant for early complications in patients with TSCI (P<0.05). Multivariate logistic regression analysis discovered that level (OR:2.732;P=0.002) of SCI and surgery or not (OR:2.214; P=0.026) were risk factors for early complications in patients with TSCI.[Conclusion]1. Early complications in patients with TSCI were the result of many factors interaction. High age, severe SCI, high SCI level and surgery were high risk factors for early complications in patients with TSCI.2. High age, degree of spinal cord injury, spinal cord injury and operation is implemented in SCI patients complicated with early risk factors for complications, and complications are often affect the prognosis of patients. Therefore, in the early injury should be targeted at high-risk groups and various risk factors for comprehensive prevention and control, especially for the older, heavier and SCI high injury patients should strengthen the prevention and treatment, such as strengthening the management of respiratory tract, using sterile intermittent catheterization and after admission to regular blood biochemistry examination. And for the implementation of operation patients before should actively improve patient’s general condition, increase the resistance of patients with postoperative complications, to do a good job of prevention, thereby reducing SCI in patients with early complications, the greatest extent possible to promote the recovery of neural function, improve the patients’ life quality and prolong life.