中国全科医学2017，Vol.20Issue(27)：3396-3399,4.DOI:10.3969/j.issn.1007-9572.2017.27.014
格拉斯哥昏迷量表评分和全面无反应性量表评分与脑电双频指数及呼吸机相关性肺炎的相关性研究
Correlation of Glasgow Coma Scale Score and Full Outline of Unresponsiveness Score with Bispectral Index and Ventilator-associated Pneumonia
摘要
Abstract
Objective To investigate the correlation of Glasgow Coma Scale(GCS) score and Full Outline of Unresponsiveness(FOUR) score with bispectral index(BIS) and ventilator-associated pneumonia(VAP),in order to give a hand for clinical prevention of VAP.Methods We carried out a study in 40 patients with artificial airway and mechanical ventilation who receiving inpatient treatment in the ICU of Tianjin First Center Hospital from July to December 2015.Within 12 hours after admission to the ICU,they were respectively evaluated by GCS and FOUR,and given BIS monitoring for 24 hours.And the values were recorded.A standard used in China or clinical pulmonary infection score(CPIS) were used to diagnose VAP.And the data about the incidence of VAP of patients were obtained by follow-up.Pearson correlation coefficient and Spearman rank correlation coefficient were used to evaluate the correlation of GCS score and FOUR score with BIS and incidence of VAP.Results The GCS score was(8.3±4.0),FOUR score was(8.3±3.7) and BIS value was (69.7±17.6).The GCS score and FOUR score were positively correlated with BIS value(r=0.761,0.821,P<0.01).There was no linear correlation between GCS score and early-onset VAP(rs=0.885,P>0.05);the correlation of GCS score and late-onset VAP was highly negative(rs=-0.994,P<0.01).FOUR score had a highly positive correlation with early-onset VAP(rs=0.992,P<0.01);but it had a highly negative correlation with late-onset VAP(rs=-0.958,P<0.05).Conclusion Compared with the GCS score,FOUR score is more significantly associated with BIS,VAP,which can provide moderately accurate assessment of the level of disorder of consciousness and prediction of the incidence of VAP.Moreover,it is easy to use and memorize,so it may could be used as a simple and effective tool for assessing the level of disorder of consciousness and predicting the incidence of VAP.关键词
肺炎,呼吸机相关性/意识障碍/格拉斯哥昏迷量表/全面无反应性量表Key words
Pneumonia/ventilator-associated/Consciousness disorders/Glasgow Coma Scale/Full Outline of Unresponsiveness分类
医药卫生引用本文复制引用
陈志强,王莹,于子荞..格拉斯哥昏迷量表评分和全面无反应性量表评分与脑电双频指数及呼吸机相关性肺炎的相关性研究[J].中国全科医学,2017,20(27):3396-3399,4.基金项目
天津市卫生行业重点攻关项目(14KG101) （14KG101）
天津市卫生局科技基金项目(2012KZ027) （2012KZ027）
