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颅脑损伤病人血皮质醇水平与伤情轻重及预后的关系 被引量:10

The relationship of the level of cortisone in plasma and the degree of craniocerebral injury and prognosis
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摘要 目的探讨颅脑损伤后病人的血皮质醇水平变化和颅脑损伤轻重分级的相关性,并探讨其对颅脑损伤预后的影响。方法回顾性分析57例颅脑损伤病人外伤后测得的血皮质醇水平,按照GCS评分分成轻中型和重型颅脑损伤组,并对所有病人随访半年。结果重型组病人的血皮质醇水平比轻中型组病人明显升高(0.01<P<0.05)。随访结果表明,伤后急性期血皮质醇水平越高,病人的死亡率和伤残率越高(P<0.01)。结论颅脑损伤病人血皮质醇水平与损伤轻重程度相关,与病人的预后相关。 Objective To study the relationship between the plasma level of cortisone and the degree of cranioeerebral injury.Methods Retrospective analysis v, as conducted for the plasma level of cortisome in 57 patients with cranioeerebral injury. According to GCS, the patients were divided into two groups,heavy patients in one group,remainders in the other group . All patients had further consultation in our hospital,20 healthy persons served as control group. Results The plasma level of cortisone of heavy patients rise higher than that of the other patients (0.01 〈 P 〈 0.05) . As a restdt, the higher of the plasma level of cortisone after injure, the higher mortality and rate of deformity ( P 〈 0.01 ). Conclusion The plasma level of cortisone may be related with the prognosis and the degree of eraniocerebral injury.
出处 《中国实用神经疾病杂志》 2006年第1期63-64,共2页 Chinese Journal of Practical Nervous Diseases
关键词 颅脑损伤 血浆皮质醇水平 伤情轻重 预后 Craniocerebral injury The plasma level of cortisone The degree of injury Prognosis
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