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Analysis of correlation between Helsinki CT score and postoperative intracranial pressure in patients with traumatic brain injury |
ZENG Qingchang LUO Zhijun ZUO Jianfeng |
CT Room, Fengcheng Hospital of Traditional Chinese Medicine, Jiangxi Province, Fengcheng 331100, China |
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Abstract Objective To analyze the correlation between Helsinki CT score and postoperative intracranial pressure in patients with traumatic brain injury (TBI). Methods A total of 88 patients with TBI who were treated in Fengcheng Hospital of Traditional Chinese Medicine from August 2020 to August 2021 were retrospectively selected as research objects. Head CT examination and postoperative intracranial pressure (ICP) detection were performed on all patients. Epidural hematoma, subdural hematoma and pressure on suprasellar cistern were recorded after CT scan, and Helsinki CT was scored. The patients were divided into normal group (n=10), mild group (n=25), moderate group (n=31) and severe group (n=22) according to the ICP value within 24 h after surgery. The Helsinki CT score of patients with different ICP values was compared, and Spearman rank correlation analysis model was used to analyze the correlation between Helsinki CT score and ICP value. Results ICP in normal group was lower than those in mild group, moderate group and severe group, and the differences were statistically significant (P<0.05). ICP in mild group was lower than those in moderate group and severe group, and the differences were statistically significant (P<0.05). ICP in moderate group was lower than that in severe group, the difference was statistically significant (P<0.05). Spearman rank correlation results showed that Helsinki CT score was positively correlated with ICP value (P<0.05). Conclusion Helsinki CT score is significantly correlated with ICP, which can be used to clinically evaluate the disease condition of patients with TBI.
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[1] |
武晓灵,喻莉,龙鼎.suPAR及D-二聚体对创伤性颅脑损伤患者病情严重程度及预后的判断价值[J].实用医学杂志,2017,33(2):234-237.
|
[2] |
杨永祥,叶玉勤,苏鑫洪,等.外泌体源性miR-124对创伤性脑损伤急性期小胶质细胞活化状态的作用研究[J].中华神经医学杂志,2018,17(12):1189-1194.
|
[3] |
王立江,元小冬.有创颅内压监测技术在重型颅脑损伤患者中的应用价值[J].解放军医药杂志,2017,29(8):55-59.
|
[4] |
单颖驰,吴翔,冯军峰,等.基于CT特征对颅脑创伤患者颅内压的评估[J].中华神经外科杂志,2020,36(10):1004-1007.
|
[5] |
马锦华,高静,王姗姗,等.西安市2025例颅脑损伤住院患者临床及流行病学特点[J].创伤外科杂志,2017,19(6):411-416.
|
[6] |
施申启,汪玲,李承明,等.Helsinki CT评分系统对颅脑损伤远期预后的预测作用[J].中国临床神经外科杂志,2017, 22(12):824-827.
|
[7] |
王松,苏菲,高海晓.中重型创伤性颅脑损伤患者凝血功能变化及对预后的影响[J].检验医学与临床,2017,14(10):1464-1466.
|
[8] |
郐国虎,蒋伟.血清标记物检测在创伤性颅脑损伤辅助诊断及严重程度评估中的应用研究进展[J].山东医药,2020,60(21):100-102.
|
[9] |
陈慧敏,姚梦雅,黄利民,等.红细胞分布宽度和血小板分布宽度联合格拉斯哥昏迷评分对重度创伤性颅脑损伤患者预后的评估价值[J].医学研究生学报,2020,33(5):493-497.
|
[10] |
谢勰,丁宛海,牛朝诗,等.颅脑损伤的GCS评分联合CT评分对患者预后判定的临床价值[J].立体定向和功能性神经外科杂志,2018,31(5):265-270.
|
[11] |
李建军.血清NSE与颅脑损伤术后早期颅内压增高-累计时间的相关性[J].中国临床神经外科杂志,2018,23(2):78-80.
|
[12] |
李永磊,杨玉升,黄建华,等.颅内压检测及脑脊液乳酸水平对重型颅脑损伤患者预后预测研究[J].创伤外科杂志,2019,21(5):384-387.
|
[13] |
徐刚,郭均胜,钟小军,等.术中应用颅压探头监测颅内压对开放性颅脑损伤患者预后情况的影响[J].中华保健医学杂志,2019,21(5):446-448.
|
[14] |
薛鑫,李瑞豪,卢维新,等.Helsinki CT评分和Stockholm CT评分对中、重型颅脑损伤预后的预测价值[J].中国临床神经外科杂志,2019,24(5):269-271,275.
|
[15] |
汪军,谢鹏,董鑫,等.Rotterdam CT评分和Helsinki CT评分在颅脑损伤预后评估中的价值[J].中国临床神经外科杂志,2020,25(7):468-470.
|
|
|
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