脑电图改变在监测急性颅脑损伤患者预后中的临床研究

A research of electroencephalogram monitoring in acute craniocerebral trauma patients on the prognosis

目的研究脑电图改变和病情相关性以及对判断急性颅脑损伤患者预后的作用。方法对我院收治的78例不同程度的急性颅脑损伤患者进行病情评估和脑电图检测,随访患者预后情况并研究患者预后情况和脑电图变化的相关性。结果 78例患者中有26例轻度损伤,22例中度损伤,30例重度损伤,脑电图改变程度与损伤程度有关(r=0.6168,P<0.05)。预后情况随脑电图改变程度升高而变差,两者相关性显著(r=0.6884,P<0.05)。结论脑电图改变程度和损伤程度及预后情况相关性显著,可以用来判断患者预后。

Objective To study the correlation and forecasting value of the electroencephalogram in acute craniocerebral trauma patients.Methods Seventy-eight patients with acute craniocerebral trauma were assessed with Glasgow coma scale and monitored with EEG.Prognosis of the patients was followed up and analysis of the correlation of the EEG abnormality was analyzed.Results Twenty-two patients out of the 78 patients were assessed as haring minor injury,mezzo injury in 26 patients and severe injury in 30 patients.The abnormality of EEG was significantly correlated with the injury level（r=0.6168,P0.05）.The increased EEG abnormality contributed to poor prognosis（r=0.6884,P0.05）.Conclusion The EEG abnormality is positively correlated with the injury level and prognosis,which can be used to judge prognosis.