摘要
目的:评估Glasgow昏迷评定量表(GCS)评分对急性卒中相关性肺炎预后的预测价值。方法:选择海丰县彭湃纪念医院入院神经科及呼吸科2019年1月-2023年12月期间卒中相关性肺炎住院患者,根据患者住院期间转归结果分为治愈组、好转组、未愈组、死亡组,比较各组入院GCS评分。结果:总共纳入185例急性卒中相关性肺炎患者,其中治愈4例,占2.2%,好转149例,占80.5%,未愈12例,占6.5%,死亡20例,占10.8%。死亡组入院GCS评分为(7.56±2.82)分,明显低于治愈组(10.25±2.75分)和好转组(9.46±2.92分),同时未愈组入院GCS评分(7.50±2.68)分也明显低于治愈组与好转组(P<0.05)。但治愈组与好转组GCS评分无统计学差异(P>0.05),未愈组与死亡组GCS评分也无统计学差异(P>0.05)。结论:入院GCS评分对卒中相关性肺炎的预后具有一定的预测价值。
Objective:To evaluate the predictive value of Glasgow Coma Scale(GCS)score on the prognosis of acute stroke-associated pneumonia.Methods:Patients admitted to the Neurology and Respiratory Departments of Pengpai Memorial Hospital,from January 2019 to December 2023 with acute stroke-associated pneumonia were included.Patients were categorized into cure,improvement,non-recovery,and death groups based on their hospital outcomes,and their admission GCS scores were compared.Results:A total of 185 patients with acute stroke-associated pneumonia were included,among whom 4(2.2%)were cured,149(80.5%)showed improvement,12(6.5%)did not recover,and 20(10.8%)died.The admission GCS score of the death group was 7.56±2.82,significantly lower than that of the cure group(10.25±2.75)and improvement group(9.46±2.92).The admission GCS score of the non-recovery group(7.50±2.68)was also significantly lower than that of the cure and improvement groups(P<0.05).However,there was no statistically significant difference in GCS scores between the cure and improvement groups(P>0.05),nor between the non-recovery and death groups(P>0.05).Conclusion:Admission GCS score has predictive value for the prognosis of stroke-associated pneumonia.
作者
罗海权
吕舜荣
黄振华
LUO Hai-quan;LV Shun-rong;HUANG Zhen-hua(Department of Pulmonary Medicine,Pengpai Memorial Hospital,Shanwei,Guangdong,516400;Department of Emergency Medicine,Pengpai Memorial Hospital,Shanwei,Guangdong;Shenzhen Second People's Hospital,Shenzhen)
出处
《岭南急诊医学杂志》
2024年第6期618-621,共4页
Lingnan Journal of Emergency Medicine
关键词
GCS评分
卒中相关性肺炎
预测
预后
GCS score
stroke-associated pneumonia
prediction
prognosis
