振幅整合脑电图评分系统对胶质瘤患者预后的评估价值  

Value of Amplitude Integrated EEG Scoring System in Evaluating the Prognosis ofPatients with Glioma

作　　者：吴红举[1] 贾东佩[1] 胡科[1] 李春雷[1] WU Hongju;JIA Dongpei;HU Ke(Nanyang Central Hospital,Nanyang,473009)

机构地区：[1]河南省南阳市中心医院,473009

出　　处：《实用癌症杂志》2021年第5期762-764,771,共4页The Practical Journal of Cancer

基　　金：2018年度河南省医学科技攻关计划项目(编号:2018020973)。

摘　　要：目的探讨振幅整合脑电图(aEEG)评分系统对胶质瘤患者预后的评估价值。方法选择78例胶质瘤患者,均进行aEEG监测,记录监测特征与进行aEEG评分,随访患者的预后并进行评估分析。结果随访到2020年8月,78例患者中死亡38例(死亡组),死亡率为48.7%。死亡组和生存组的临床分期、组织学分级、肿瘤最大直径及aEEG背景活动分级、aEEG评分对比差异有统计学意义(P<0.05)。Pearson分析显示胶质瘤患者预后死亡与aEEG评分、背景活动分级、临床分期、组织学分级、肿瘤最大直径存在相关性(P<0.05)。ROC曲线显示aEEG评分、背景活动分级、临床分期、组织学分级、肿瘤最大直径等评估胶质瘤患者死亡的曲线下面积分别为0.714、0.883、0.782、0.791、0.765。结论aEEG评分对胶质瘤患者的预后生存情况具有很好的临床诊断与评估价值。Objective To investigate the value of the amplitude integrated electroencephalogram(aEEG)scoring system in evaluating the prognosis of patients with glioma.Methods 76 patients with glioma were selected and all were monitored for aEEG,and the monitoring characteristics were recorded and aEEG scores were performed,and the prognosis of the patients were followed up.Results There were 38 cases of died(death group),and the mortality rate were 48.7%.The clinical stage,histological grade,maximum tumor diameter,aEEG background activity grade,and aEEG score of the death group and survival group were significantly different(P<0.05).Pearson analysis showed that the prognostic death of glioma patients were correlated with aEEG score,background activity grade,clinical stage,histological grade,and maximum tumor diameter(P<0.05).The ROC curve shows that the area under the curve for evaluating the death of glioma patients such as aEEG score,background activity grade,clinical stage,histological grade,and maximum tumor diameter were 0.714,0.883,0.782,0.791,0.765,respectively.Conclusion The aEEG score has a good clinical diagnosis and evaluation value for the prognosis and survival of glioma patients.

关 键 词：振幅整合脑电图 评分系统 胶质瘤 预后 背景活动分级 

分 类 号：R739.41[医药卫生—肿瘤]