摘要
目的探讨格拉斯哥昏迷评分(glasgow coma scale,GCS)、因斯布鲁克昏迷评分(innsbruck comascale,ICS)和急性生理和慢性健康评分Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)对昏迷患者脑功能及预后判断的评价价值。方法按3种临床评分标准对GCS3~8分、入院3 d的68例昏迷患者进行评分,并对所得评分结果进行分级、对比,分析其与患者预后的相关性。结果各临床分级标准与预后均有较好的相关性,3种临床评分标准比较,其预测预后的准确性差异无统计学意义(P<0.05)。结论GCS、ICS和APACHEⅡ3种临床评分量表均能对昏迷患者的预后提供良好的诊断价值,3种标准间预测价值差异不明显。
Objective To investigate the assessing value of Glasgow coma scale(GCS),Innsbruck coma scale(ICS) and acute physiology and chronic health evaluation Ⅱ(APACHEⅡ) to the brain function and prognosis of coma patients.Methods The three clinical scores of GCS,ICS and APACHEⅡwere used to score 68 inpatients with coma who had been hospitalized 3days and whose GCS≤8.The score results were classified and compared so as to analyze their correlations to prognoses of the patients.Results All the three classification standards had better a correlativity to prognosis.No significant difference was found in the accurateness of predicting prognosis among the three clinical scores.Conclusion All of the three scores of GCS,ICS and APACHEⅡ have good value to the prognoses of coma patients.
出处
《中国全科医学》
CAS
CSCD
2008年第19期1761-1762,1765,共3页
Chinese General Practice
