Correlation Analysis Of Modified CT Imaging Score And ICP

Objective: A retrospective analysis of Neurosurgical Disease CT imagingfeatures, and intracranial pressure (ICP) correlation analysis, exploratory andpredictable form of ICP CT rating scale to guide clinical treatment anddetermine prognosis. Methods: According to the inclusion criteria, collected inJanuary2013in December2013in our hospital invasive ICP monitoring(Camino, Codman ventricular type or parenchymal type device) patients,patients within24hours after the ICP probe into unified brain CT scan. Theimaging findings in patients with brain CT scan imaging by CT table into anumerical score, and correlation analysis and CT examination60minutes beforethe ICP values. Included in the analysis of CT imaging features included in eachsub-article6rating scale, the basis for the Rotterdam CT Rating Scale score(see Table1), in order to further improve the prediction ICP CT score sheetvalue increments or change a basic rating scale variable, then the CT imaging ofpatients re-score and correlation analysis with ICP values. Statistical analysiswas performed using SPSS19.0software. Results: A total of66cases of patientsincluded in the study. Univariate analysis of CT scores were transformed byvarious scales correlated with the ICP, and multivariate analysis of each sub-scale is correlated with ICP No evidence found, and this is the inadequacy of this article. ICP Rotterdam score table and a correlation coefficient of r=0.545(P<0.01), there is a strong correlation. On the basis of Rotterdam on the scoresheet adds:" gyri sulci change " this one (see Table2), the results of statisticalcalculations carried out the correlation coefficient was r=0.845(P <0.01), thereis a strong correlation. On the basis of the score sheet will Rotterdam " epiduralbrain injury " to " on the screen hematoma "" infratentorial hematoma " two(see Table3), the results of statistical calculations carried out the correlationcoefficient was r=0.472(P <0.01), a strong correlation. On the basis ofRotterdam score sheet on the improvement of the " midline shift " this one (seeTable4), the structure of the correlation coefficient statistical calculationscarried out for r=0.498(P <0.01), there is a strong correlation. On the basis ofthe score sheet will Rotterdam " intraventricular hemorrhage or subarachnoidhemorrhage " is divided into two (see Table5), the structure of the correlationcoefficient statistical calculations carried out for r=0.472(P <0.01), there is astrong correlation sex. Seen from the above statistical results: Table2Thecorrelation coefficient over the Rotterdam score sheet increased by0.300; Table3, the correlation coefficient over the Rotterdam score sheet decreased0.073;Table4, the correlation coefficient over the Rotterdam score sheet decreased0.047; Table5compared Rotterdam ratings correlation coefficient table isreduced0.073. Thus, we can know that the strongest correlation table2, it canbe concluded initially increased " brain sulci change back," this one ’s correlation coefficients in Table2has greatly improved, while Table3, Table4,Table5, the resulting correlation coefficient has a small decline. And we will allchange the composition of the factors in Table6further correlation analysis, thecorrelation coefficient obtained r=0.453(P <0.01), the correlation coefficient isstill a small decline. Therefore, the focus of CT Rating Scale2were analyzed, inorder to facilitate clinical treatment, the ICP values divided into three: Whenthe ICP is less than15mmHg, intracranial pressure in the normal range;15mmHg <ICP≤20mmHg considering intracranial hypertension, but thiswhen can I strengthen clinical observation, stepped down temporarily withouttreatment; when ICP>20mmHg when the need for clinical intervention. Valuesin Table2and the corresponding score values obtained for CT correlation level r=0.729(P <0.01), having a strong correlation between the various hierarchicallevels of the ICP then the corresponding CT scores were associated monopolaranalysis each having a strong correlation (see Table8): when the correlationcoefficient r ICP≤15mmHg score corresponding CT value=0.520(P <0.01);when the correlation coefficient15mmHg <ICP≤20mmHg scorecorresponding CT values r=0.758(P <0.01); when ICP>20mmHg with acorresponding correlation coefficient CT score value r=0.704(P <0.01).Conclusion: CT imaging features and ICP has obvious relevance, improved CTimaging Rating Scale2can better predict ICP values. Improved CT imagingscore more than five timeshare prompt ICP value exceeds20mmHg, the need for further surgical intervention, thus improving CT imaging clinical rating scaletwo pairs have better guidance.