摘要
目的分析创伤指数与创伤性脊柱损伤患者预后的关系,验证其对预后的判断价值。方法纳入创伤性脊柱损伤患者168例,在入院时进行创伤指数评分,用美国脊髓损伤协会(ASIA)分级评估患者脊髓损伤程度,并随访6个月,用Spearman相关性分析创伤指数与ASIA分级的关系,运用受试者工作曲线(ROC)分析创伤指数与预后的关系。结果 168例创伤性脊柱损伤患者创伤指数与ASIA分级呈显著负相关(r=-0.68,P<0.01);完成随访157例(93.5%),创伤指数预测患者死亡的敏感度为71.4%、特异度为76.1%、最佳截点为25分(P<0.01);与低分组(<25分)比较,高分组(≥25分)的ASIA分级更低,死亡率更高,差异有统计学意义(P<0.01)。结论创伤性脊柱损伤患者的创伤指数评分与脊髓损伤程度相关,是患者预后不良的预测指标。
Objective To investigate the predictive value of trauma index on the prognosis in pa-tients with traumatic spinal cord injury.Methods Enrolled 168 cases of patients with traumatic spinal cord injury,the traumatic index score and the American Spinal Injury Association （ASIA）grade were as-sessed on admission,then followed up for 6 months,the Spearman correlation analysis was performed to a-nalysis the relationship between trauma index and ASIA grade,and Receiver operating curve （ROC）anal-ysis was used to evaluate the relationship between trauma index and prognosis.Results There was a sig-nificant negative correlation between trauma index score and ASIA grade（r =-0.68,P 〈0.01）.A total of 157 cases （93.5%）completed follow-up,the trauma index score had a good predictive value on the traumatic death in these patients,it＇s sensitivity was 71.4%,specificity was 76.1%,the best cut-off point was 25 points（P 〈0.01 ）;Compared with the low score group （〈25 points）,the high group （≥25 points）showed a lower ASIA grade and higher mortality,the differences were statistically significant （P 〈0.01）.Conclusion The trauma index score was related with the spinal cord injury,and it is a predictive factor of poor prognosis in patients with traumatic spinal cord injury.
出处
《临床外科杂志》
2017年第1期65-67,共3页
Journal of Clinical Surgery
关键词
创伤指数评分
创伤
脊柱损伤
预后
ttrauma index score
trauma
spinal cord injury
prognosis
