高血压性脑出血的CT分级与预后  

Computed tomography-based grading and prognostic evaluation of hypertensive intracerebral hemorrhage

作　　者：周祺[1] 朱明霞[1] 金鹏[1] 赵卫忠[1] 

机构地区：[1]南京中医药大学附属常州中医院神经外科,常州213003

出　　处：《中华神经医学杂志》2008年第12期1276-1277,1283,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨高血压性脑出血的环池、脑干的形态学改变，研究其与预后的关系。方法回顾性分析165例高血压性脑出血患者的头颅CT资料，以环池、脑干的形态学改变分为4级，记录入院时GCS和发病后6月GOS评分．对数据加以统计分析。结果对所得的数据进行等级资料的Spearman相关性检验，提示GCS评分与CT分级、CT分级与GOS转归均显著相关（r=0．753，P〈0．01；r=0．675，P〈0．01）。结论高血压性脑出血的CT分级是早期判断预后的有效指标。Objective To investigate the association of morphological changes of the cisterna ambiens and brain stem defined by computed tomography （CT） and the prognosis of hypertensive intracerebral hemorrhage. Methods A retrospective analysis was conducted in 165 patients with hypertensive intracerebral hemorrhage who underwent head CT. The morphological changes of the cistema ambiens and brain stem were classified into 4 grades according to the results of head CT, and the Glasgow coma score （GCS） upon admission and the Glasgow outcome score （GOS） at 6 months after the hemorrhage were recorded for comparative analysis. Results Spearman rank analysis revealed significant correlations of the CT-based grading of the cerebral pathology to the GCS （r=0.753, P〈0.01） and the GOS （r=0.675, P〈0.01） in these patients. Conclusion Head CT-based grading of the cerebral pathologies can be useful for early prediction of the outcomes of patients with hypertensive intracerebral hemorrhage.

关 键 词：颅内出血 高血压性 体层摄影术 X线计算机 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R544.1[医药卫生—临床医学]