不同昏迷量表在神经重症监护中对院内死亡的评估  

A study on the coma scales for the prediction of the in-hospital mortality in NICU

作　　者：胡旻婧[1] 张元媛[1] 柯开富[1] 

机构地区：[1]南通大学附属医院神经内科,江苏226001

出　　处：《交通医学》2013年第4期339-341,共3页Medical Journal of Communications

摘　　要：目的:评估不同昏迷量表在神经重症监护(NICU)内对急性昏迷患者1月内院内死亡率的预测价值。方法:在发病72h内记录昏迷患者60例的格拉斯哥昏迷评分(GCS)、格拉斯哥匹兹堡昏迷评分(GCS-P)、全面无意识评分(FOUR),随访1月记录院内死亡率,使用Logistic回归,判断各量表与院内死亡率之间的关系。结果:Logistic回归分析发现GCS评分、GCS-P评分、FOUR评分分值与院内死亡负相关。结论:GCS评分、GCS-P评分、FOUR评分与昏迷患者院内死亡相关。Objective：T o evaluate the value of different coma scales in predicting the hospital mortality in one month which caused by acute coma. Methods：60 cases of coma patients were arranged in the intensive care unit of neurology department. Glasgow coma scale（GCS）, Glasgow-Pittsburgh Coma Scale（GCS-P）, Full Outline of Unresponsiveness score（FOUR） would be recorded according to the acute coma patients within 72 h after they arrived. The in-hospital mortality within one month would be recorded. Use Logistic regression to investigate the relationship between scale and inhospital mortality. Results：Logistic regression analysis showed that GCS, GCS-P and FOUR were negatively related to the mortality in hospital. Conclusion：GCS, GCS-P, FOUR were relevant with the in-hospital mortality in one month.

关 键 词：昏迷 格拉斯哥昏迷评分 格拉斯哥匹兹堡昏迷评分 全面无意识评分 昏迷量表 

分 类 号：R741.041[医药卫生—神经病学与精神病学]