运动区脑膜瘤术后迟发性肌力障碍的影响因素分析

目的:探讨运动区脑膜瘤术后迟发性肌力障碍的影响因素。方法:收集2014年6月-2017年6月于我院进行显微镜下脑膜瘤切除术患者82例并将其分为肌力异常组和肌力正常组。比较两组患者的临床资料,筛选与患者术后发生肌力异常相关的因素,进一步采用Logistic回归分析对迟发性运动障碍的影响因素。结果:本研究中,肌力下降者48例,迟发天数为(3.83±2.98)天;肌力异常组和肌力正常组患者年龄、肿瘤大小、水肿指数、水肿最大径及静脉处理比较差异均存在统计学意义(P0.05);Logistic回归分析结果显示年龄(OR=5.055)、EI指数(OR=2.418)、肿瘤大小(OR=3.432)及静脉处理(OR=8.569)等因素对肌力异常问题存在影响(P0.05)。结论:年龄、肿瘤大小、EI指数及静脉处理是运动区脑膜瘤术后发生迟发性肌力障碍的影响因素。

Analysis of the Influencing Factors of Delayed Limb Muscle Disorder after the Operation of Meningioma in the Motor Area

ABSTRACT Objective: To analyze the influencing factors of delayed limb muscle weakness after the operation of meningioma in the motor area provide scientific evidences for the postoperative treatment, timely examination and rehabilitation nursing. Methods: 82 cases of patients with meningioma resection under microscope in our hospital in June 2017 to June 2014 were collected and divided into the abnormal muscle strength group and the normal muscle group. The clinical data were studied and compared by t test and x2 test, and the influencing factors of delayed dyskinesia were analyzed by Logistic regression. Results: In this study, 48 cases of patients had decreased muscle strength, the delayed time was (3.83±2.98) days; significant differences were found in the age, tumor size, edema index, edema and venous diameter between the two groups(P<0.05), age (OR=5.055), EI index (OR=2.418), tumor size (OR=3.432) and intravenous treatment(OR=8.569) showed significant effect(P<0.05). Conclusion: Delayed limb muscle disorder after the operation of meningioma in the motor area was influenced by age, tumor size, EI index and venous treatment.