中国全科医学Issue(23)：2830-2832,3.DOI:10.3969/j.issn.1007-9572.2015.23.020
全面无反应性量表对重型创伤性颅脑损伤患者预后的评估价值
Predictive Value of FOUR Scale in the Prognosis of Patients With Severe Traumatic Brain Injury
摘要
Abstract
Objective To explore the value of Full Outline of Unresponsiveness Scale ( FOUR Scale ) in the prediction of death of patients with severe traumatic brain injury ( STBI) .Methods We enrolled 95 patients with STBI ( GCS score≤8) who received treatment in the Second People′s Hospital of Qinzhou from January 2012 to December 2013.According to whether death ( including brain death ) occurred within 28 days after admission , the subjects were divided into two groups:death group (n=37) and survival group (n=58).Clinical data were collected, including gender, age, reason for brain injury and undergoing surgery or not .The same researcher made FOUR , GCS and APACHEⅡevaluations on the patients within 24 hours after admission.Results The death group was higher (P<0.01) in age and APACHEⅡ score and lower (P<0.01) in FOUR score and GCS score than the survival group .The sensitivity degree and specificity degree of FOUR predicting death were 72%and 85%, with an AUC of 0.854 〔95%CI (0.762, 0.953)〕; the sensitivity degree and specificity degree of GCS predicting death were 74% and 87%, with an AUC of 0.873 〔95%CI ( 0.783, 0.953 )〕; the sensitivity degree and specificity degree of APACHEⅡpredicting death were 73% and 83%, with an AUC of 0.861 〔95%CI (0.813, 0.932)〕. No significant difference was noted among the three scales in the prediction of death (P>0.05).Conclusion FOUR Scale has high sensitivity degree and specificity degree in predicting the death of STBI patients , thus it has equal predictive value with GCS and APACHEⅡin the prognosis of STBI patients .关键词
颅脑损伤/全面无反应性量表/格拉斯哥昏迷量表/急性生理与慢性健康状况评分系统Ⅱ/预后Key words
Craniocerebral trauma/Full outline of unresponsiveness scale/Glasgow coma scale/APACHEⅡ/Prognosis分类
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石齐芳,梁大胜..全面无反应性量表对重型创伤性颅脑损伤患者预后的评估价值[J].中国全科医学,2015,(23):2830-2832,3.基金项目
钦州市科学研究与技术开发计划项目 （）
