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目的 应用CT技术评价脑损伤恢复期的神经、精神、心理学改变。方法 调查重型颅脑损伤治愈出院的 110例患者 ,预后结局的各变量与CT参数的典型相关分析 ,预后结局各变量的主因子及因模型旋转所得主因子与CT参数的逐步回归分析。结果 脑外伤恢复期CT影像的改变与患者的神经精神心理改变相关 ,预后指标中认知、行为、就业状况是反映预后结局改变最有代表性的指标 ,CT参数中第三脑室宽度的改变与脑损伤预后结局高度相关。结论 第三脑室宽度的改变在评价重型颅脑损伤预后时很有潜力。
Objective To evaluate the neurological, mental and psychological changes during the recovery of brain injury by using CT technique. Methods A total of 110 patients with severe craniocerebral injury who were discharged from hospital were enrolled in this study. Canonical correlation analysis was made between each variable of prognosis and CT parameters. The main factors of prognostic variables and stepwise regression analysis of the main factors and CT parameters were obtained. Results The changes of CT images in convalescent brain trauma correlated with the changes of neuropsychological and psychology in patients with traumatic brain injury. The cognitive, behavioral and employment status in the prognostic indicators were the most representative indicators reflecting the change of prognosis. The changes of the third ventricular width The prognosis of brain injury is highly correlated. Conclusion The change of the third ventricle width has great potential in the evaluation of prognosis of severe head injury.