【作者】 丁宛海； 谢勰； 鲍得俊； 牛朝诗； 赵海峰；

【Author】 Xie XIE;Dejun BAO;Chaoshi NIU;Haifeng ZHAO;Wanhai DING;Provincial Hospital Affiliated to Anhui Medical University (Department of Neurosurgery),Anhui Province Key Laboratory of Brain Function and Brain Diseases;College of Computer Science and Technology,Anhui University;

【机构】 安徽医科大学附属省立医院神经外科脑功能与脑疾病安徽省重点实验室； 安徽大学计算机科学与技术学院；

【摘要】 目的探讨GCS评分联合CT评分对颅脑损伤患者预后判定的临床价值。方法回顾性分析2016年1月1日至2016年12月31日本院急诊收治的612例颅脑创伤患者的病例资料,对所有患者均行GCS评分和CT评分,并采用权重方法进行联合评分,评价其在患者预后中应用价值。结果 (1)GCS评分与CT评分之间存在正相关,相关系数为0.649,P<0.01。(2)GCS评分与TBI患者预后的相关系数为0.505;CT评分与TBI患者预后的相关系数为0.489;GCS评分联合CT评分与TBI患者预后的相关系数为0.609。3种参数与TBI患者预后均有显著相关性(P <0.01),但GCS评分联合CT评分与TBI患者预后具有更强的相关性。(3)受试者工作特征曲线结果显示:GCS评分的曲线下面积为0.808(P <0.01,95%CI0.756～0.843);CT图像评分的曲线下面积为0.800(P <0.01,95%CI0.7773～0.843);GCS评分联合CT评分的曲线下面积为0.809(P<01,95%CI0.775～0.843)。因此,GCS评分联合CT评分在判定TBI患者预后方面有优势,具有更好的预后判断。结论 GCS评分联合CT评分对TBI患者预后判定相关性更高。更多还原

【Abstract】 Objective To investigate the clinical value of GCS score combined with CT score in the prognosis of patients with traumatic brain injuries. Methods A retrospective analysis of 612 cases of traumatic brain injury patients admitted to the Japanese hospital from January 1, 2016 to December 31, 2016 was performed. GCS scores and CT scores were scored for all patients, and weighted methods were used for the combined scoring. Evaluate its value in the prognosis of patients. Results(1)There was a positive correlation between GCS score and CT score. The correlation coefficient was 0.649, P<0.01.(2)The correlation coefficient between GCS score and TBI patient prognosis was 0.505; the correlation coefficient between CT score and TBI patient prognosis was 0.489; the correlation coefficient between GCS score combined with CT score and TBI patient prognosis was 0.609. The three parameters were significantly correlated with the prognosis of TBI patients, but the GCS score combined with CT score was more strongly associated with the prognosis of patients with TBI.(3) The results of the receiver operating characteristic curve showed that the area under the curve of the GCS score was 0.808(P < 0.01, 95% CI 0.756 ～ 0.843); the area under the curve of the CT image score was 0.800(P < 0.01, 95% CI0.7773 ～0.843); the area under the curve of the GCS score combined with the CT score was 0.809(P <01,95% CI0.775 ～0.843), so the GCS score combined with the CT score has an advantage in determining the prognosis of patients with TBI. The prognosis of the judgment. Conclusion GCS score combined with CT score is more relevant for the prognosis of patients with TBI.更多还原