摘要
目的探讨基于非增强CT的5分预测法(BAT)评分、血糖检测对自发性脑出血(SICH)患者近期预后的预测价值。方法选取浙江省人民医院2020年3月至2022年3月收治的SICH患者102例,采用回顾性分析法进行研究,通过检测患者血糖水平和采用BAT评分评估患者血肿扩大情况,并于30 d后利用格拉斯哥预后评分(GOS)评估患者的预后情况,分析血糖与BAT评分、血糖及BAT评分与患者预后的关系,并分析血糖及BAT评分对患者近期预后的预测价值。结果经GOS评估后102例患者有24例预后不良,占23.53%,预后不良患者BAT评分及血糖水平分别为(3.13±0.68)分、(11.58±2.30)mmol/L,均明显高于预后良好患者的(2.40±0.59)分、(8.88±1.71)mmol/L(t=5.10、5.30,均P<0.05);Pearson相关性分析发现:SICH患者血糖水平与BAT评分呈正相关(r=0.43,P<0.05);Spearman相关性分析发现:SICH患者血糖水平及BAT评分与患者预后情况呈正相关(r=0.42、0.47,P<0.05);ROC曲线显示:BAT评分及血糖水平联合指标曲线下面积为0.874,明显高于BAT指标曲线下面积(Z=2.54,P<0.05)。结论SICH患者预后不良比例较大,预后不良患者血糖水平及BAT评分相对较高,血糖水平及BAT评分对患者预后情况具有较高的预测价值。
Objective To investigate the value of a 5-point predictive score based on unenhanced CT combined with blood glucose detection for predicting short-term prognosis in patients with spontaneous cerebral hemorrhage.Methods A total of 102 patients with spontaneous intracerebral hemorrhage who received treatment in Zhejiang Provincial People's Hospital from March 2020 to March 2022 were included in this study and analyzed retrospectively.Blood glucose level was measured and BAT score was used to evaluate hematoma enlargement.After 30 days,Glasgow Outcome Scale was used to evaluate the prognosis of patients.The relationships between blood glucose and BAT score,and between blood glucose and BAT score and prognosis were analyzed.The value of blood glucose and BAT score for predicting short-term prognosis was analyzed.Results The Glasgow Outcome Scale results showed that among the 102 patients,24 patients(23.53%)had poor prognosis.The BAT score and blood glucose level in patients with poor prognosis were(3.13±0.68)points and(11.58±2.30)mmol/L,respectively,which were significantly higher than(2.40±0.59)points and(8.88±1.71)mmol/L in patients with good prognosis(t=5.10,5.30,both P<0.05).Pearson correlation analysis showed that in patients with spontaneous intracerebral hemorrhage,blood glucose level was positively correlated with BAT score(r=0.43,P<0.05).Spearman correlation analysis showed that in patients with spontaneous intracerebral hemorrhage,blood glucose level and BAT level were positively correlated with prognosis(r=0.42,0.47,both P<0.05).The receiver operating characteristic curve showed that the area under the curve plotted for BAT score combined with blood glucose level for predicting short-term prognosis was 0.874,which was significantly greater than the area under the curve plotted for BAT score alone for predicting short-term prognosis(Z=2.54,P<0.05).Conclusion A large proportion of patients with spontaneous intracerebral hemorrhage have a poor prognosis.The patients with a poor prognosis have higher blood glucose levels and BAT scores than those with good prognosis.Blood glucose and BAT score have a high value for predicting the prognosis of patients with spontaneous intracerebral hemorrhage.
作者
黄依娜
朱丹丹
何诗晴
高维
Huang Yina;Zhu Dandan;He Shiqing;Gao Wei(Department of Emergency,Zhejiang Provincial People's Hospital,Hangzhou 310000,Zhejiang Province,China;Department of Emergency,Jinhua Municipal Central Hospital,Jinhua 321000,Zhejiang Province,China)
出处
《中国基层医药》
CAS
2023年第8期1170-1174,共5页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省科学技术厅项目(LY18H080066)。
关键词
脑出血
血肿体积
格拉斯哥预后评分
危险因素
血糖
BAT评分
相关性
预测价值
Cerebral hemorrhage
Hematoma volume
Glasgow outcome score
Risk factors
Blood glucose
BAT score
Relevance
Predictive value
作者简介
通信作者:黄依娜,Email:huangyina1994@163.com。
