摘要目的 探讨急性横贯性脊髓炎患者的住院时间及其影响因素,为减少住院时间寻找有效解决方法.方法 回顾性分析以"急性横贯性脊髓炎"为第一诊断的158例出院患者的病历资料.通过病案号查阅原始病历,补充相关资料.主要包括人口学资料以及神经功能缺损程度、合并症、并发症方面资料.结果 住院时间4.00～41.00 d,平均(17±6)d,其中住院时间≤10 d组23例(14.56％)、＞10～＜20 d组83例(52.53％)、≥20 d组52例(32.91％).3组年龄、神经功能评分比较差异均有统计学意义(F值分别为60.90、8.68,P均＜0.05);3组自费、高血压、糖尿病、尿路感染、深静脉血栓形成比较差异均有统计学意义(x2值分别为20.04、14.27、12.17、9.37、7.05,JP均＜0.05).急性横贯性脊髓炎与年龄、神经功能评分、交费方式相关(OR值分别为1.140、0.500、83.930和0.041,P均＜0.05).结论 疾病本身所致神经功能缺损程度轻重是影响住院时间的最主要因素;控制院内感染、预防深静脉血栓形成、强化医保管理是缩短平均住院日的有效措施.

abstractsObjective To evaluate the days of hospitalization of acute transverse myelitis and its influencing factors.Methods File's of 158 patients with acute transverse myelitis as the first diagnosis in Feicheng Mining Centre Hospital were analyzed retrospectively.Access to the original medical records through the medical record number, and supplemented information, mainly including demographic data, neurological function defect degree, complications and complications.Results Hospitalization time was 4-41 d, an average of (17±6) d,including 23 patients hospitalized time ≤ 10 d(14.56％), 83 cases were ＞ 10-＜20 d(52.53％), 52 cases was≥20 d(32.91％).Age and Neurological score comparative differences are statistically significant (F=60.90,8.68, P＜0.05).Payment method, deep vein thrombosis, comparative differences were statistically significant(x2 =20.04, 14.27, 12.17,9.37,7.05;P＜0.05).There were ralationship between acute transverse myelitis with age, neurological score, payment (OR =1.140, 0.500,83.930,0.041;P＜ 0.005).Conclusion The degree of neurologic impairment is the most important influencing factors of acute transverse myelitis.Controlling hospital infection, preventing deep vein thrombosis, strengthening medical insurance management, are the effective ways to shorten the days of hospitalization of acute transverse myelitis.