牡丹江医学院学报
牡丹江醫學院學報
모단강의학원학보
Journal of Mudanjiang Medical University
2015年
5期
16-17,8
,共3页
颅脑损伤%GCS%临床%预后
顱腦損傷%GCS%臨床%預後
로뇌손상%GCS%림상%예후
Brain injury%GCS%Clinical%Prognosis
目的：探讨颅脑损伤GCS评分与CT像计分与临床预后的相关性，为临床判断颅脑损伤患者预后提供参考。方法随机选取颅脑损伤患者138例，对所有患者均行头颅CT连续扫描并对CT像计分，根据结果将患者分为轻型组（ CT像计分≤5分，58例）、中型组（ CT像计分6～10分，49例）和重型组（ CT像计分≥11分，31例），并与GCS评分及临床预后进行对照分析。结果 GCS评分分级为轻度昏迷56例，中度昏迷50例，重度昏迷32例，GCS评分与CT像计分比较无明显差异（ t＝5．234， P ＞0．05），但是随着CT像计分的升高，GCS评分随之下降，二者之间存在显著相关性（ r ＝－0．73， P ＜0．05）；58例CT像计分为轻型的患者治疗后，52患者治愈，仅发生轻度残疾或无明显功能障碍，占89．66％；49例CT像计分为中型的患者治疗后，34例患者治愈，仅发生轻度残疾或无明显功能障碍，占57．63％；31例CT像计分为重型的患者治疗后，12例患者治愈，仅发生轻度残疾或无明显功能障碍，占38．71％，组间比较差异显著（ P ＜0．05），提示CT像计分与颅脑损伤患者的临床预后存在显著正相关（ r ＝0．37， P ＜0．05）。结论颅脑损伤GCS评分与CT像计分存在显著相关性，CT像计分与临床预后存在显著相关性，二者可为临床颅脑损伤患者的预后提高科学参考。
目的：探討顱腦損傷GCS評分與CT像計分與臨床預後的相關性，為臨床判斷顱腦損傷患者預後提供參攷。方法隨機選取顱腦損傷患者138例，對所有患者均行頭顱CT連續掃描併對CT像計分，根據結果將患者分為輕型組（ CT像計分≤5分，58例）、中型組（ CT像計分6～10分，49例）和重型組（ CT像計分≥11分，31例），併與GCS評分及臨床預後進行對照分析。結果 GCS評分分級為輕度昏迷56例，中度昏迷50例，重度昏迷32例，GCS評分與CT像計分比較無明顯差異（ t＝5．234， P ＞0．05），但是隨著CT像計分的升高，GCS評分隨之下降，二者之間存在顯著相關性（ r ＝－0．73， P ＜0．05）；58例CT像計分為輕型的患者治療後，52患者治愈，僅髮生輕度殘疾或無明顯功能障礙，佔89．66％；49例CT像計分為中型的患者治療後，34例患者治愈，僅髮生輕度殘疾或無明顯功能障礙，佔57．63％；31例CT像計分為重型的患者治療後，12例患者治愈，僅髮生輕度殘疾或無明顯功能障礙，佔38．71％，組間比較差異顯著（ P ＜0．05），提示CT像計分與顱腦損傷患者的臨床預後存在顯著正相關（ r ＝0．37， P ＜0．05）。結論顱腦損傷GCS評分與CT像計分存在顯著相關性，CT像計分與臨床預後存在顯著相關性，二者可為臨床顱腦損傷患者的預後提高科學參攷。
목적：탐토로뇌손상GCS평분여CT상계분여림상예후적상관성，위림상판단로뇌손상환자예후제공삼고。방법수궤선취로뇌손상환자138례，대소유환자균행두로CT련속소묘병대CT상계분，근거결과장환자분위경형조（ CT상계분≤5분，58례）、중형조（ CT상계분6～10분，49례）화중형조（ CT상계분≥11분，31례），병여GCS평분급림상예후진행대조분석。결과 GCS평분분급위경도혼미56례，중도혼미50례，중도혼미32례，GCS평분여CT상계분비교무명현차이（ t＝5．234， P ＞0．05），단시수착CT상계분적승고，GCS평분수지하강，이자지간존재현저상관성（ r ＝－0．73， P ＜0．05）；58례CT상계분위경형적환자치료후，52환자치유，부발생경도잔질혹무명현공능장애，점89．66％；49례CT상계분위중형적환자치료후，34례환자치유，부발생경도잔질혹무명현공능장애，점57．63％；31례CT상계분위중형적환자치료후，12례환자치유，부발생경도잔질혹무명현공능장애，점38．71％，조간비교차이현저（ P ＜0．05），제시CT상계분여로뇌손상환자적림상예후존재현저정상관（ r ＝0．37， P ＜0．05）。결론로뇌손상GCS평분여CT상계분존재현저상관성，CT상계분여림상예후존재현저상관성，이자가위림상로뇌손상환자적예후제고과학삼고。
Objective To investigate the correlation between GCS score, CT score and the clinical prognosis in patients with craniocerebral injury, and to provide reference for clinical judgment of prognosis of patients with craniocerebral injury.Methods 138 patients with craniocerebral injury were randomly selected.All patients underwent head CT continuous scanning and CT Score.Accord-ing to the results, the patients were divided into mild group ( CT score less than or equal to 5 points, 58 cases) , medium group ( CT score 6~10 points, 49 cases) and severe group ( CT score more than or equal to 11 points, 31 cases) .The GCS and prognosis were compared and analyzed as well.Results The GCS score of patients with mild coma (56 case), moderate coma (50 cases) and se-vere coma score (32 case)has no significant difference with CT score, respectively ( t =5.234, P >0.05).But with the CT like score increased, GCS score decreased, there was significant correlation between the two (r=-0.73, P <0.05).After treatment, 52 patients of 58 cases with CT like scoring as light patientswere cured, only mild disability or no obvious dysfunction, accounting for 89. 66%;34 patients of 49 cases of CT score as medium-sized patients were cured, only mild disability or no obvious dysfunction in 31 cases, accounting for 57.63%;as for the patients with severe CT score, 12 patients were cured, only mild disability or no obvious dys-function, accounting for 38.71%, a significant difference between the two groups( P <0.05), which suggesting that CT like the score and the clinical prognosis of patients with craniocerebral injury were significantly positively correlated( r =0.37, P <0.05).Conclu-sion Craniocerebral injury with GCS score and CT score are significantly correlated.There is a significant correlation between CT like score and clinical prognosis, and GCS score and CT score can provide scientific reference for the prognosis.
