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شیوع اختلالات الکترولیت در بیماران دچار آسیب‌های تروماتیک مغز و ارتباط آن با افت سطح هوشیاری

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دکترای پرستاری، استادیار، مرکز تحقیقات سلامت سالمندان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

2 دانشجوی کارشناس ارشد، پرستاری مراقبت‌های ویژه، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

3 استادیار، دانشکده پزشکی، دپارتمان بیهوشی و مراقبت‌های ویژه، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

چکیده

مقدمه: اختلالات الکترولیتی و تغییرات سطح هوشیاری از جمله پیامدهای شایع در آسیب‌های تروماتیک مغز هستند که تأثیر جدی بر روند بهبودی بیماران دارند. مطالعه حاضر به‌منظور درک بهتر شیوع اختلالات الکترولیتی و ارتباط آن‌ها با افت سطح هوشیاری در بیماران مبتلابه آسیب‌های تروماتیک مغز انجام‌شده است.
مواد و روش­ها: این مطالعه توصیفی-تحلیلی بر روی ۳۰۰ بیمار بستری در بخش مراقبت‌های ویژه با تشخیص آسیب تروماتیک مغزی از سال 1401 تا 1404 انجام شد. نمونه‌های خون (شامل سدیم، منیزیم، پتاسیم و کلسیم) در بدو پذیرش جمع‌آوری و با استفاده از دستگاه الکترولیت آنالیزر Easy Lyte آنالیز و تحلیل داده‌ها با استفاده از نرم‌افزار SPSS نسخه 24 صورت گرفت.
یافته­ها: اختلال الکترولیتی تقریباً در تمامی انواع آسیب‌های تروماتیک مغز اتفاق افتاد. تمام بیماران با DAI، ICH و IVH نمره GCS کمتر از 8 داشتند. ارتباط آماری معنی‌داری بین سطح سدیم (0.029= p) و منیزیم (0.047= p) با افت سطح هوشیاری وجود دارد؛ اما ازلحاظ پتاسیم (0.182= p) و کلسیم (0.660= p) ارتباط معناداری با افت سطح هوشیاری وجود نداشت.
نتیجه‌گیری: یافته‌های این مطالعه حاکی از آن است که اختلالات الکترولیتی، در بیماران مبتلابه آسیب مغزی تروماتیک شایع هستند. نوسانات در سطح سدیم و منیزیم تأثیر قابل‌توجهی بر سطح هوشیاری بیماران دارند که شناسایی زودهنگام این اختلالات می‌تواند سبب کاهش عوارض و مرگ‌ومیر شود.

تازه های تحقیق

https://scholar.google.com/citations?user=CsdzE0IAAAAJ&hl=en

https://pubmed.ncbi.nlm.nih.gov/?term=ali+asghar+jesmi%5bAuthor%5d&sort

https://scholar.google.com/citations?user=z6xxD74AAAAJ&hl=fa

https://pubmed.ncbi.nlm.nih.gov/?term=maedeh+hamrah%5bAuthor+-+First%5d&sort=

https://scholar.google.com/citations?hl=en&user=wftYotsAAAAJ

https://pubmed.ncbi.nlm.nih.gov/28250601/

 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Prevalence of Electrolyte Disorders and Their Association with Decreased Level of Consciousness in Patients with Traumatic Brain Injury

نویسندگان [English]

  • Ali asghar Jesmi 1
  • Maedeh Hamrah Siyani 2
  • Shakiba Mozari 3

1 Ph.D. in nursing, Assistant professor, Iranian research center on healthy aging, Sabzevar University of Medical Sciences, sabzevar, Iran.

2 MSc. Student in Critical care Nursing, Sabzavar University of Medical Sciences, sabzevar, Iran.

3 Assistant Professor of critical care medicine, department of Anesthesiology, School of Medicine, Sabzavar University of Medical Sciences, Sabzevar, Iran.

چکیده [English]

Introduction: Electrolyte imbalances and altered consciousness are common complications of traumatic brain injury (TBI) that significantly impact patient recovery. This study aimed to determine the prevalence of electrolyte disturbances and their association with decreased consciousness in TBI patients.
Materials and Methods: This descriptive-analytical study included 300 ICU patients with TBI from 2022 to 2025. Blood samples (sodium, magnesium, potassium, calcium) were measured using an EasyLyte analyzer. Data were analyzed with SPSS 24.
Results: Electrolyte disturbances occurred in types of traumatic brain injury. All patients with diffuse axonal injury (DAI), intracerebral hemorrhage (ICH), and intraventricular hemorrhage (IVH) had a Glasgow Coma Scale (GCS) score <8. A statistically significant association was observed between serum sodium (p = 0.029) and magnesium levels (p = 0.047) with decreased levels of consciousness. However, no significant relationship was found between potassium (p = 0.182) and calcium levels (p = 0.660) and reduced consciousness.
Conclusion: Electrolyte disturbances, particularly hypokalemia and hypocalcemia, are prevalent in TBI patients. Early detection and correction may reduce complications and mortality.

کلیدواژه‌ها [English]

  • Traumatic Brain Injuries
  • Electrolyte disturbances
  • Consciousness Disorders
  • Critical Care
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مجله دانشگاه علوم پزشکی سبزوار
دوره 32، شماره 6
بهمن و اسفند 1404
صفحه 655-669
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  • تاریخ دریافت: 15 مرداد 1404
  • تاریخ بازنگری: 21 شهریور 1404
  • تاریخ پذیرش: 29 شهریور 1404
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