摘要
目的探讨颅内动脉瘤性蛛网膜下腔出血患者不同时间点GCS评分与预后的关系。方法回顾分析我们2008年8月至2011年10月期间收治的50例颅内动脉瘤性蛛网膜下腔出血手术患者的临床资料,收集患者发病10min、发病后6h、发病后24h、发病后72h、发病后1周、发病后2周的GCS评分,同时发病半年后随访,进行格拉斯哥结果评分(GOS),对临床疗效进行评定,研究患者不同时间点的GCS评分与其GOS评分的相关性。结果动脉瘤性蛛网膜下腔出血患者发病10min、发病后6h、发病后24h、发病后72h、发病后1周、发病后2周的GCS评分与其GOS评分有相关性,相关系数分别为0.624、0.948、0.521、0.541、0.597、0.733。结论动脉瘤性蛛网膜下腔出血患者发病10min、发病后6h、发病后24h、发病后72h、发病后1周、发病后2周的GCS评分与其预后有相关性,GCS评分应作为其估计蛛网膜下腔出血性动脉瘤患者预后的一个重要指标。发病后6h的GCS评分与其GOS评分相关系数最大,提示发病后6h更要特别注意观察,必要时发病6h复查头颅CT,观察是否有再出血及颅内其他情况变化,以便早期处理。
Objective To investigate the relationship between the different time points of GCS score and prognosis of patients with intracranial aneurysmal subarachnoid hemorrhage. Methods 50 patients with the intracranial aneurysmal subarachnoid hemorrhage surgery between August, 2008 to October, 2011 in our hospital were retrospectively analyzed, including the GCS score of patients with 10 rain, 6 h, 24h, 72h, lw, 2w after morbidity of patients with aneurysmal subarachnoid hemorrhage and following-up the dates after six month＇ s morbidity. Results The Glasgow （GOS） was evaluated, and the relationship between the GCS score and the GOS score of patients＇ clinical curative effect in different time points were discussed. The correlation coefficient were 0. 624, 0. 948, 0. 521, 0.541, 0. 597, 0. 733. Conclusion There is a correlation between the GCS score and the GOS score of patients with aneurysmal subarachnoid hemorrhage, 10 rain, 6 h, 24 h, 72 h, 1 w and 2w after incidence. The GCS score and the GOS score should become an important index to assessment prognosis with subarachnoid hemorrhagic aneurysm patients. There is a maximum correlation coefficient between the GCS score and the GOS score after six morbidity. If needed, the patients should be reexamined with brain CT after six morbidity. If there is bleeding again or other changes, the early treatment is given timely.
出处
《河南大学学报（医学版）》
CAS
2012年第1期42-44,共3页
Journal of Henan University:Medical Science
基金
开封市科技攻关项目(100392)
