摘要
目的探讨全身炎症反应综合征（SIRS）评分预测急性颅脑损伤患者预后的作用和意义。方法对收治的620例急性颅脑损伤患者在入院24h内进行SIRS评分及GCS评分，分析不同SIRS分值患者的病死率、相同年龄患者不同GCS分值与SIRS分值及预后的关系。结果随着SIRS分值的升高，患者病死率增加，当SIRS分值1〉2分时患者病死率显著升高，与SIRS分值〈2分时比较差异有统计学意义（P〈0．05）；相同年龄组当SIRS分值≥2分时，GCS分值为8～12分的患者病死率15．38％（4／26），GCS分值〈8分的患者病死率50．00％（8／16），二者差异有统计学意义（P〈O．05）。结论SIRS评分具有独立预测颅脑损伤患者预后的作用，有一定的临床应用价值。
Objective To explore the effect and significance of systemic inflammatory response syndrome（SIRS）score in predicting prognosis in acute craniocerebral trauma. Methods The clinical data of 620 patients were collected at admission from January 2003 to December 2007, GCS and SIRS score were calculated in 24 hours.The relation of the mortality rates and GCS score were analyzed in different SIRS score patients by controlling age. Results With SIRS score increasing, mortality rates increased as well, and patients with SIRS （score≥2） mortality rates had significantly higher,and also in the same age and GCS score group.Mortality rates were significant in staitistics （P 〈 0.05）. Conclusion SIRS score is significant independent predicting prognosis in acute craniocerebral trauma and in clinic.
出处
《中国医师进修杂志（外科版）》
2008年第10期18-20,共3页
Chinese Journal of Postgraduates of Medicine
关键词
全身炎症反应综合征
颅脑损伤
格拉斯哥昏迷评分
预后
Systemic inflammatory response syndrome
Craniocerebral trauma
Glasgow coma scale
Prognosis
