摘要
目的评价MHIPS评分系统（The Madras Head Injury Prognostic Scale）对合并颅脑损伤的多发伤预后评估的价值。方法随机抽取2008年6月-2009年6月同济医院创伤外科收治的196例合并颅脑损伤的多发伤患者,分为死亡组和存活组,分别进行格拉斯哥昏迷评分（GCS）、创伤严重度评分（ISS）和MHIPS评分,以受试者工作特征曲线（ROC）下面积大小衡量各评分系统预测患者预后的能力,比较3种评分的ROC曲线下面积。结果GCS、ISS和MHIPS评分ROC曲线下面积（AUC）分别为0.728、0.770、0.854,MHIPS与GCS评分间AUC有统计学差异,与ISS评分AUC间无统计学差异。结论MHIPS评分系统对合并颅脑损伤的多发伤患者的预后有较好的预测效果,是一种值得推广的颅脑损伤评分系统,但仍需要更多临床资料去证实。
Objective To assess the effect of MHIPS score in evaluating prognosis of the multiple trauma patients with traumatic brain injury.Methods Totally the data of 196 cases admitted to the department of traumatic surgery of Tongji hospital from Jun.2008 to Jun.2009 were randomly analyzed.The cases were devided into survivors group and non-survivors group and were scored with GCS,ISS and MHIPS.Areas under ROC curve（AUC） of three scoring systems were measured and compared.Results Areas under ROC curve of GCS,ISS and MHIPS were 0.728,0.770,0.854 respectively.There was significant difference between MHIPS＇s AUC and GCS＇s AUC,but no significant difference between MHIPS＇s AUC and ISS＇s AUC.Conclusion MHIPS can well predict prognosis,which should be promoted as a head injury scoring system,but still needs much more clinical data to confirm.
出处
《创伤外科杂志》
2010年第1期8-11,共4页
Journal of Traumatic Surgery
关键词
颅脑损伤
多发伤
损伤评分
预后
traumatic brain injury
multiple trauma
injury score
prognosis
