ECBER脑电图分级标准在脑血管病意识障碍预后预测中的应用(1)
[摘要] 目的 探討ECBER脑电图分级标准在脑血管病意识障碍预后预测中的应用价值。 方法 选择2016年1月～2017年6月在我院诊断治疗的急性脑血管病意识障碍患者262例为研究对象。记录患者的一般资料、既往病史、入院时GCS评分、3个月后电话随访预后情况，以患者存活或死亡作为预后观察指标。分析存活组与死亡组的性别、年龄、GCS评分、原发病以及ECBER分级。分析ECBER分级及GCS与患者预后的相关性。 结果 3个月后电话随访，193例患者存活，占73.66%；69例患者死亡，占26.34%。存活组与死亡组GCS评分比较差异有统计学意义(P<0.05)。死亡患者与存活患者ECBER分级比较差异有统计学意义(P<0.05)。GCS评分与患者预后相关性分析结果显示，两者呈显著线性关系(r=0.662，P<0.05)。ECBER分级与患者预后的相关性结果显示，两者呈显著线性关系(r=-0.583，P<0.05)。 结论 ECBER脑电图分级与脑血管病意识障碍患者预后有显著的相关性，分级越高预后越差，可用于患者的预后评价。
[关键词] ECBER脑电图分级标准；脑血管病；意识障碍；预后
[中图分类号] R741.044；R743 [文献标识码] A [文章编号] 1673-9701(2018)14-0008-03
[Abstract] Objective To investigate the application value of ECBER EEG grading standard in the prediction of the prognosis of disturbance of consciousness induced by cerebrovascular disease. Methods A total of 262 patients with acute cerebrovascular disturbance of consciousness who were diagnosed and treated in our hospital from January 2016 to June 2017 were selected as the research subjects. The general data， past medical history， GCS score at admission， prognosis of telephone follow-up after 3 months were recorded in the patients， and patient survival or death was used as an observation indicator of prognosis. The gender， age， GCS score， primary disease， and ECBER grading were analyzed in the survival group and death group. The ECBER grading and the correlation between GCS and patients' prognosis were analyzed. Results After 3 months of follow-up by telephone， 193 patients survived， accounting for 73.66%. 69 patients died， accounting for 26.34%. There was a statistically significant difference in the GCS scores between the survival group and the death group(P<0.05). There was a statistically significant difference in the ECBER grading between the survival group and the death group (P<0.05). The correlation analysis between GCS score and patients' prognosis showed that there was a significant linear relationship between the two (r=0.662， P<0.05). The correlation analysis between the ECBER grading and the prognosis of patients showed that there was a significant linear relationship between the two (r=-0.583， P<0.05). Conclusion The ECBER EEG grading has a significant correlation with the prognosis of patients with disturbance of consciousness induced by cerebrovascular disease. The higher the grading， the worse the prognosis， which can be used to evaluate the prognosis of patients.
[Key words] ECBER EEG grading standard； Cerebrovascular disease； Disturbance of consciousness； Prognosis, 百拇医药(徐丹)
[关键词] ECBER脑电图分级标准；脑血管病；意识障碍；预后
[中图分类号] R741.044；R743 [文献标识码] A [文章编号] 1673-9701(2018)14-0008-03
[Abstract] Objective To investigate the application value of ECBER EEG grading standard in the prediction of the prognosis of disturbance of consciousness induced by cerebrovascular disease. Methods A total of 262 patients with acute cerebrovascular disturbance of consciousness who were diagnosed and treated in our hospital from January 2016 to June 2017 were selected as the research subjects. The general data， past medical history， GCS score at admission， prognosis of telephone follow-up after 3 months were recorded in the patients， and patient survival or death was used as an observation indicator of prognosis. The gender， age， GCS score， primary disease， and ECBER grading were analyzed in the survival group and death group. The ECBER grading and the correlation between GCS and patients' prognosis were analyzed. Results After 3 months of follow-up by telephone， 193 patients survived， accounting for 73.66%. 69 patients died， accounting for 26.34%. There was a statistically significant difference in the GCS scores between the survival group and the death group(P<0.05). There was a statistically significant difference in the ECBER grading between the survival group and the death group (P<0.05). The correlation analysis between GCS score and patients' prognosis showed that there was a significant linear relationship between the two (r=0.662， P<0.05). The correlation analysis between the ECBER grading and the prognosis of patients showed that there was a significant linear relationship between the two (r=-0.583， P<0.05). Conclusion The ECBER EEG grading has a significant correlation with the prognosis of patients with disturbance of consciousness induced by cerebrovascular disease. The higher the grading， the worse the prognosis， which can be used to evaluate the prognosis of patients.
[Key words] ECBER EEG grading standard； Cerebrovascular disease； Disturbance of consciousness； Prognosis, 百拇医药(徐丹)
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