鹿特丹CT评分用于评估颅脑损伤患者预后

Rotterdam CT score for predicting prognosis of patients with craniocerebral injuries

目的分析鹿特丹CT(Rotterdam CT)评分评估颅脑损伤患者预后的应用价值。方法纳入122例入院后均接受颅脑CT检查及相应对症治疗的颅脑损伤患者,于入院14天后根据格拉斯哥预后量表(Glasgow outcome scale,GOS)评分判断预后,以GOS评分≤3分为预后不良、>3分为预后良好,比较预后良好与预后不良患者一般资料、CT征象和Rotterdam CT评分。采用Pearson相关性分析观察Rotterdam CT评分与预后的相关性;以多元logistic回归分析影响预后的因素。结果根据入院14天后GOS评分,81例预后良好(预后良好组),41例预后不良(预后不良组)。预后良好组患者中线移位、基底池情况评分及Rotterdam CT评分均低于预后不良组,脑室受压情况好于预后不良组(P均<0.01)。Rotterdam CT评分与颅脑损伤患者预后呈负相关(r=-0.702,P=0.002);多元logistic回归分析结果显示,Rotterdam CT评分与颅脑损伤患者预后相关(P<0.001)。结论Rotterdam CT评分可为临床评估颅脑损伤患者预后提供重要参考。

Objective To investigate the value of Rotterdam CT score for predicting the prognosis of patients with craniocerebral injuries.Methods Totally 122 patients with craniocerebral injuries who underwent craniocerebral CT examination and corresponding symptomatic treatment after admission were enrolled.Patients'prognosis were evaluated with Glasgow outcome scale(GOS)14 days after admission,poor prognosis was predicted when GOS≤3(poor prognosis group),while good prognosis was predicted when GOS>3(good prognosis group).The general data,CT signs and Rotterdam CT score were compared between groups.Pearson correlation analysis was used to observe the correlation between Rotterdam CT score and prognosis,and multivariate logistic regression was used to analyze impact factors of prognosis.The efficacy of Rotterdam CT score for assessing prognosis of patients with craniocerebral injuries was evaluated.Results After 14 days of admission,according to GOS score,81 patients had good prognosis and 41 had poor prognosis.The median line displacement,basal cisterns score and Rotterdam CT score in good prognosis group were lower all than those in poor prognosis group,and the ratio of the maximum width of the frontal angle of the ventricle to the diameter between two skulls at the same level was higher in good prognosis group than that in poor prognosis group(all P<0.01).Rotterdam CT score was negatively correlated with prognosis(r=-0.702,P=0.002).Multivariate logistic regression analysis showed that Rotterdam CT score was associated with prognosis of patients with craniocerebral injuries(P<0.001).Conclusion Rotterdam CT score could provide important references for clinical evaluation on the prognosis of patients with craniocerebral injuries.