FOUR评分与颅脑损伤患者呼吸机相关性肺炎的相关性研究

Correlation between FOUR score and ventilator-associated pneumonia in patients with craniocerebral injury

目的:探讨FOUR量表与颅脑损伤呼吸机相关性肺炎间的相关性,为降低VAP的发生率提供一定指导.方法:运用FOUR量表、BIS评分评估98例颅脑损伤患者的意识状态水平,探索FOUR评分、BIS评分与VAP发生率间的关系.结果:98例颅脑损伤患者的入院时患者的FOUR评分平均值为(8.7±2.3)分、BIS评分平均分为(68.3±12.9)分;FOUR评分与BIS评分呈正相关(r=0.93,P<0.05),FOUR评分与VAP发生率间也存在相关关系(P<0.05).结论:FOUR量表适合颅脑损伤患者的意识状态评估,且FOUR评分、BIS评分能够预测VAP发生率,对临床降低VAP发生率有指导意义.

Objective:To investigate the correlation between FOUR scale and ventilator-associated pneumonia in craniocerebral injury,and to provide some guidance for reducing the incidence of VAP.Methods:FOUR scale and BIS score were used to evaluate the state of consciousness of 98 patients with craniocerebral injury,and to explore the relationship between FOUR score,BIS score and VAP incidence.Results:The mean FOUR scores of the 98 patients with craniocerebral injury were(8.7±2.3)and the BIS scores were(68.3±12.9).The FOUR score was positively correlated with the BIS score(r=0.93,P<0.05),there was also a correlation between FOUR score and VAP incidence(P<0.05).Conclusion:The FOUR scale is suitable for the assessment of the state of consciousness in patients with craniocerebral injury,and the FOUR score and BIS score can predict the incidence of VAP,which has a guiding significance for the clinical reduction of VAP.