脑电双频指数与严重颅脑外伤程度的相关性及预后分析.pdfVIP

2011 年8 月第49卷第22期 ·临床研究· 脑电双频指数与严重颅脑外伤程度的相关性及顶后分析 干朝晖张立群 (浙江省舟山市普陀区人民医院 ICU. 浙江舟山 316100) [摘要]目的观察脑电双频指数( BIS )与严重颅脑外伤严重程度的相关性及与预后的关系。方法观察2∞8 年3 月 -2∞9 年 12 月 84 例严重颅脑外伤患者，监测 BIS 并分析其与病情严重程度及预后的相关性。结果入院72h 后 GCS 评分5 分组同 GCS 评分运 5 分组相比，两组 BIS 值差异有统计学意义(p 0.01 )。入院 72h 后 BIS 运 40 与 BIS 40 两组之 间，其琐屑差异有统计学意义(p 0.01)。结论入院时病情越重. BIS 值越低，其预后越差。因此. BIS 可以作为严重颅 脑外伤患者病情严重程度及预后判断的一个指标。 [关键词]脑电双频指数( BIS); 颅脑外伤;昏迷监测:脑外伤预后 [中圄分类号 ]R科4 [文献标识码] B [文章编号 ]1673-9701 (2011 ) 22-22-02 The Relativity and Prognosis of Bispectral Index with Severe Craniocerebral Injury GAN Chaohui ZHANG Liqun ICU of Putuo People s Hospital of Zhoushan City. Zhejiang Provinc哩. Zhoushan 3161∞.China [Abstract] Objective To ohserve the relativity and prognosis of hispectral index ( BIS ) with severe craniocerehral inju可. Methods All 84 patients with craniocerehral injury hospitalized in from Mar 2008 to Dec 2009. monitoring their RIS. then analyse the relativity of the order of disease severity and prognosis. Results Comparing the GCS after patients hospitalized 72h. hetween GCS score 5 with GCS :s; 5. there were significant differences statistically in comparison hetween any two groups (P 0.01 ). The BIS after patients hospitalized 72h. between BIS score 40 with BIS score :S; 40. there were significant differences statistically in comparison between any two groups (p 0.01 ). Conclusion While the patient with more serious craniocerehral injury and lower BIS. he will got worse prognosis. So BIS could be a index for us to judge patients craniocerehral injury severity and its prognosis. [Key words] Bispectral index ( BIS ); Craniocerehral injury; Coma monitori