脑电图反应性分级联合格拉斯哥评分对重型颅脑损伤昏迷患者预后的评估价值

Assessment Value of EEG Reactivity Classification Combined with Glasgow Score on the Prognosis of Severe Traumatic Brain Injury Patients with Coma

目的探讨脑电图(EEG)反应性分级联合格拉斯哥评分(GCS评分)对重型颅脑损伤(STBI)昏迷患者预后的评估价值。方法选取100例STBI昏迷患者作为研究对象,均在发病3 d内完成GCS评分与EEG检查。出院60 d后对患者进行随访,使用ADL评分评估患者的日常生活能力,分析GCS评分、EEG分级与患者预后的相关性。结果100例患者中,院内死亡29例,好转出院71例,平均GCS评分(5.06±1.19)分;出院患者平均ADL评分(61.25±7.46)分。GCS评分、EEG分级与死亡结局具有相关性(P<0.05)。GCS评分、EEG分级与ADL评分具有相关性(P<0.05)。结论EEG反应性分级联合GCS评分可有效评估重型颅脑损伤昏迷患者的预后。

Objective To explore the assessment value of EEG reactivity classification combined with Glasgow score(GCS score)on the prognosis of severe traumatic brain injury(STBI)patients with coma.Methods 100 STBI patients with coma were selected as research objects,and GCS score and EEG examination were performed within 3 days after onset.60 days after discharge,patients were followed up to assess daily living ability through ADL score.The correlations of GCS score and EEG classification with the prognosis of patients were analyzed.Results Among 100 patients,29 patients died in hospital and 71 patients were discharged after improvement,and the average GCS score was(5.06±1.19)points.The average ADL score of discharged patients was(61.25±7.46)points.GCS score and EEG classification were correlated with the outcome of death(P<0.05).GCS score and EEG classification were correlated with ADL score(P<0.05).Conclusions EEG reactivity classification combined with GCS score can effectively evaluate the prognosis of severe traumatic brain injury patients with coma.