Helsinki CT评分与创伤性颅脑损伤患者术后颅内压相关性分析  

Analysis of correlation between Helsinki CT score and postoperative intracranial pressure in patients with traumatic brain injury

作　　者：曾庆昌[1] 罗志军 左剑锋[1] ZENG Qingchang;LUO Zhijun;ZUO Jianfeng(CT Room,Fengcheng Hospital of Traditional Chinese Medicine,Jiangxi Province,Fengcheng331100,China)

机构地区：[1]江西省丰城市中医院CT室,江西丰城331100

出　　处：《中国当代医药》2022年第19期116-118,共3页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220217738)。

摘　　要：目的分析Helsinki CT评分与创伤性颅脑损伤(TBI)患者术后颅内压的相关性。方法回顾性选取2020年8月至2021年8月丰城市中医院收治的88例TBI患者作为研究对象,所有患者均行头部CT检查和术后颅内压(ICP)检测,记录CT扫描后硬膜外血肿、硬膜下血肿、鞍上池受压等情况,进行Helsinki CT评分,以术后24 h内患者ICP值将其分为正常组(n=10)、轻度组(n=25)、中度组(n=31)、重度组(n=22),比较不同程度ICP值患者的Helsinki CT评分,并使用Spearman等级相关分析模型分析Helsinki CT评分与ICP值的相关性。结果正常组患者的ICP低于轻度组、中度组、重度组,差异有统计学意义(P<0.05);轻度组患者的ICP低于中度组、重度组,差异有统计学意义(P<0.05);中度组患者的ICP低于重度组,差异有统计学意义(P<0.05)。Spearman等级相关结果显示,Helsinki CT评分与ICP值呈正相关(P<0.05)。结论Helsinki CT评分与ICP存在明显相关性,可用于临床评估TBI患者病情。Objective To analyze the correlation between Helsinki CT score and postoperative intracranial pressure in patients with traumatic brain injury(TBI).Methods A total of 88 patients with TBI who were treated in Fengcheng Hospital of Traditional Chinese Medicine from August 2020 to August 2021 were retrospectively selected as research objects.Head CT examination and postoperative intracranial pressure(ICP)detection were performed on all patients.Epidural hematoma,subdural hematoma and pressure on suprasellar cistern were recorded after CT scan,and Helsinki CT was scored.The patients were divided into normal group(n=10),mild group(n=25),moderate group(n=31)and severe group(n=22)according to the ICP value within 24 h after surgery.The Helsinki CT score of patients with different ICP values was compared,and Spearman rank correlation analysis model was used to analyze the correlation between Helsinki CT score and ICP value.Results ICP in normal group was lower than those in mild group,moderate group and severe group,and the differences were statistically significant(P<0.05).ICP in mild group was lower than those in moderate group and severe group,and the differences were statistically significant(P<0.05).ICP in moderate group was lower than that in severe group,the difference was statistically significant(P<0.05).Spearman rank correlation results showed that Helsinki CT score was positively correlated with ICP value(P<0.05).Conclusion Helsinki CT score is significantly correlated with ICP,which can be used to clinically evaluate the disease condition of patients with TBI.

关 键 词：CT检查 Helsinki CT评分 创伤性颅脑损伤 颅内压 

分 类 号：R651.15[医药卫生—外科学]