CT图像计分与格拉斯哥评分预测颅脑损伤的临床及预后作用比较

Comparison on role of CT image score and Glasgow coma scale in predicting clinical results and prognosis of craniocerebral injury

摘要:

目的：探讨CT图像计分与格拉斯哥评分（Glasgow coma scale，GCS）及临床预后之间的关系。方法：129例颅脑损伤病人行头颅CT连续扫描，根据CT显示颅内结构改变计分，分为轻型（≤5分），中型（6~10分）和重型（≥11分）。结合GCS及临床转归进行临床对照分析。结果：2种评分之间比较差异无统计学意义（X2=0.44，Ｐ＝０.80），CT图像计分各型之间的预后差异有统计学意义（X2=4.69，Ｐ＝０.03）。结论：CT图像计分与GCS评分在颅脑损伤病情分级存在相关性，能较好评估颅脑损伤的预后，为临床判断预后提供重要的客观依据。

Abstract:

Objective：To explore the relationship between Glasgow coma scale（ＧCS） and CT image score in predicting clinical results and prognosis of craniocerebral injury. Methods：Consecutive cranial CT scan was carried out in 129 patients with craniocerebral injury. All patients were divided into three groups according to CT image scores：mild injury（≤5 points），moderate injury（6~10 points） and severe injury（≥11 points）. CT image scores were compared with GCS scores and clinical prognosis. Results：Differences between the two kinds of scores were not statistically significant（?X2=0.44，P=0.80）. All types of craniocerebral injury according to CT image scores were statistically related with clinical prognosis（ X2=4.69，Ｐ＝０.03）. Conclusions：Correlation between CT image scores and GCS scores in craniocerebral injury classification exists，which provides an important objective method to evaluate the clinical prognosis of craniocerebral injury.