CAJ | 학술논문

目的探讨改良CT图像评分对重型颅脑损伤昏迷患者预后评估的作用. 方法回顾性分析南方医科大学附属花都医院神经外科自2010年6月至2011年9月收治的90例重型颅脑损伤昏迷患者的临床资料,根据预后分为清醒组和昏迷组.应用改良CT图像评分法对患者的CT图像进行评分,并分析其与患者病情严重程度及预后的关系. 结果昏迷组患者的改良CT图像评分明显高于清醒组,差异有统计学意义(P＜0.05).GCS评分3～5分组患者改良CT图像评分明显高于6～8分组,差异有统计学意义(P＜0.05); Spearman相关分析显示患者改良CT图像评分与GCS评分呈负相关关系(r=-0.790,P=0.000). 结论改良CT图像评分有助于评估患者病情、预后及指导临床诊治,具有良好的临床应用价值.
목적 탐토개량CT도상평분대중형로뇌손상혼미환자예후평고적작용. 방법 회고성분석남방의과대학부속화도의원신경외과자2010년6월지2011년9월수치적90례중형로뇌손상혼미환자적림상자료,근거예후분위청성조화혼미조.응용개량CT도상평분법대환자적CT도상진행평분,병분석기여환자병정엄중정도급예후적관계. 결과 혼미조환자적개량CT도상평분명현고우청성조,차이유통계학의의(P＜0.05).GCS평분3～5분조환자개량CT도상평분명현고우6～8분조,차이유통계학의의(P＜0.05); Spearman상관분석현시환자개량CT도상평분여GCS평분정부상관관계(r=-0.790,P=0.000). 결론 개량CT도상평분유조우평고환자병정、예후급지도림상진치,구유량호적림상응용개치.
Objective To explore the application of modified CT imaging scale in the assessment of prognosis of comatose patients with severe traumatic brain injury. Methods Retrospective analysis was performed on the clinical data of 90 comatose patients with severe traumatic brain injury; according to the prognosis,they were divided into conscious group (n=47) and coma group (n=43).The modified CT imaging scale was used to analyze the relationship between these CT imaging data and prognosis,and the relationship between these CT imaging data and severity of illness. Results The scores of CT imaging scale in comatose patients were significantly higher than those in conscious patients (P＜0.05). Patients with 3-5 scores in GCS enjoyed higher scores of CT imaging scale as compared with those with 6-8 scores (P＜0.05).The scores of modified CT imaging scale and the GCS scores in these 90 patients showed negative correlation (Spearman's correlation coefficient:r=-0.79,P=0.000). Conclusion The modified CT imaging scale is helpful in assessing the prognosis and guiding the clinical treatment of comatose patients with severe traumatic brain injury.