MSCT联合CTPI在外伤性弥漫性脑肿胀患者中的应用及预后研究  

Application of MSCT combined with CTPI in patients with traumatic diffuse brain swelling and its prognosis

作　　者：张可[1] 魏晓东[1] 张建华 柳少光[1] 张冬志[1] 

机构地区：[1]甘肃省人民医院急诊中心,甘肃兰州730000 [2]兰州市肺科医院功能科,甘肃兰州730046

出　　处：《中国现代医生》2016年第32期90-92,97,共4页China Modern Doctor

基　　金：甘肃省自然科学基金(145RJZA066)

摘　　要：目的 综合分析MSCT联合CTPI在外伤性弥漫性脑肿胀患者中的应用及预后效果。方法 选取2012年8月-2016年8月在我院收治的100例外伤性弥漫性脑肿胀患者作为研究对象,按照入院顺序随机分为实验组与对照组,每组均为50例。对照组应用常规MSCT诊断方法,实验组应用MSCT联合CTPI诊断方法。采用SPSS20.0统计学软件分析两组患者在颅脑外伤中的检出率,并分析损伤区域的局部脑血流量（CBF）、局部脑血流容积（CBV）、平均通过时间（MTT）和超清彩色图像与外伤性弥漫性损伤预后的关系。结果 1实验组检出率远远高于对照组（P〈0.05）,两组患者的CBF、CBV、MTT数据比较差异有统计学意义（P〈0.05）;2实验组GOS评分为（4.22±0.28）分,对照组GOS评分为（1.85±0.19）分,实验组患者预后效果显著优于对照组（P〈0.05）。结论MSCT联合CTPI在外伤性弥漫性脑肿胀患者中的应用及预后效果显著。Objective To analyze the application of MSCT combined with CTPI in patients with traumatic diffuse brain swelling and its prognosis. Methods From August 2012 to August 2016, 100 patients with traumatic diffuse brain swelling in our hospital were randomly divided into experimental group and control group according to admission order.The control group was diagnosed by conventional MSCT. The experimental group was diagnosed by MSCT combined with CTPI. SPSS20.0 statistical software was used to analyze the detection rate of regional cerebral blood flow in the injured area（CBF）, regional cerebral blood flow volume（CBV）, average transit time（MTT） and the relationship between ultrasonography and traumatic diffuse injury prognosis. Results 1 The detection rate of the experimental group was much higher than the control group（P〈0.05）. The data of CBF, CBV and MTT in the experimental group was significantly different from that in the control group（P〈0.05）; 2The GOS score of the experimental group was（4.22±0.28） points.The GOS score of the control group was（1.85±0.19） points. The prognosis of the experimental group was significantly higher than that of the control group（P〈0.05）. Conclusion MSCT combined with CTPI is effective in the treatment of patients with traumatic diffuse brain swelling and its prognosis.

关 键 词：MSCT CTPI 外伤性 弥漫性脑肿胀患者 应用 预后效果 

分 类 号：R651.15[医药卫生—外科学]