早期CT环池形态改变对急性颅脑损伤患者预后观察  

Prognostic observation and nursing care of patients with acute craniocerebral injury by early CT ring cistern morphological changes

作　　者：张秋平 张宇 ZHANG Qiuping;ZHANG Yu(Department of Traditional Chinese Medicine Outpatient, Enshi Central Hospital, Enshi 445000, P.R.China;Department of Traditional Chinese Medicine Radiology, Enshi Ceniral Hospital, Enshi 445000, P.R.China)

机构地区：[1]湖北省恩施自治州中心医院中医部门诊部,湖北恩施445000 [2]湖北省恩施自治州中心医院中医部放射诊断中心,湖北恩施445000

出　　处：《医学影像学杂志》2022年第1期21-24,共4页Journal of Medical Imaging

摘　　要：目的探讨早期CT检查在评估急性颅脑损伤预后的价值。方法选取我院急性颅脑损伤97例患者的临床资料,按格拉斯哥预后评分划分成两组,其中45例评分≥13分者作为A组,另52例评分<13分者作为B组,两组分别利用CT观察环池形态的变化,同时配以护理措施进行干预,比较两组环池形态分级情况,统计两组环池压迫不变、缓解以及加重的发生率。结果A组中I级、II级、III级的发生率高出B组,但IV级、V级的发生率低于B组(P<0.05)。A组环池压迫缓解的发生率高出B组,但环池压迫不变、加重的发生率均低于B组(P<0.05)。A组中脑前后径与横径比值处于0.9~1.1的发生率高出B组(P<0.05)。结论早期CT检查对评估患者预后具有重要意义,可尽早掌握其环池形态的变化,同时配以护理措施,有助于保障患者顺利完成诊断与救治工作。Objective To study the value and nursing measures of early CT in evaluating the prognosis of acute craniocerebral injury.Methods 97 patients with acute craniocerebral injury included in our hospital from February 2020 to February 2021 were selected.The clinical data of all patients were collected and sorted out.They were divided into two groups according to Glasgow prognosis score,of whom 45 patients with score≥13 were taken as group A and 52 patients with score<13 were taken as group B.CT was used to observe the changes of cisternal morphology in the two groups,and nursing measures were taken for intervention,the morphological grading of cistern was compared between the two groups,and the incidence of constant,remission and aggravation of cistern compression was counted.Results The incidence of grade I,II and III in group A was higher than that in group B,but the incidence of grade IV and V was lower than that in group B(P<0.05).The incidence of remission of cisternal compression in group A was higher than that in group B,but the incidence of unchanged and aggravated cisternal compression was lower than that in group B(P<0.05).The ratio of anterior posterior diameter to transverse diameter of midbrain in group A was 0.9~1.1,which was higher than that in group B(P<0.05).Conclusion Early CT is of great significance in evaluating the prognosis of patients.It can grasp the changes of ring pool morphology as soon as possible.At the same time,combined with nursing measures,it can help to ensure the successful completion of diagnosis and treatment,which is worthy of promotion.

关 键 词：体层摄影术 X线计算机 急性颅脑损伤 环池形态 护理干预 

分 类 号：R742[医药卫生—神经病学与精神病学] R814.42[医药卫生—临床医学]