文档介绍：MHIPS评分在合并颅脑损伤的多发伤患者预后评估中的应用
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作者:王宁,白祥军,易成腊,高伟,杨帆,陈驾君
【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)、、,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。
【关键词】颅脑损伤;多发伤;损伤评分;预后
Abstract: Objective To assess the effect of MHIPS score in evaluating prognosis of the multiple trauma patients with traumatic brain Totally the data of 196 cases admitted to the department of traumatic surgery of Tongji hospital from to were randomly cases were devided into survivors group and nonsurvivors group and were scored with GCS,ISS and under ROC curve(AUC) of three scoring systems were measured Areas under ROC curve of GCS,ISS and MHIPS were ,, was significant difference between MHIPSs AUC and GCSs AUC,but no significant difference between MHIPSs AUC and ISSs MHIPS can well predict prognosis,which should be promoted as a head injury scoring system,but still needs much more clinical data to confirm.
Key words:traumatic brain injury;mult