中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2010年
9期
1179-1182
,共4页
脑缺血/病理生理学/分类%卒中/病理生理学/分类%神经系统疾病
腦缺血/病理生理學/分類%卒中/病理生理學/分類%神經繫統疾病
뇌결혈/병리생이학/분류%졸중/병리생이학/분류%신경계통질병
Brain ischemia/PP/CL%Stroke/PP/CL%Nervous system diseases%Evaluation studies
目的 探讨缺血性脑卒中TOAST分型各亚型神经功能缺损的合适临床评定量表.方法 选择289例缺血性脑卒中患者进行前瞻性分析.结果 (1)缺血性脑卒中TOAST病因分型各亚型构成比:UND(36.6%)最大,SAO(29.8%)次之,OC(1.7%)最小;三个月死亡率:CE(15.5%)最高,LAA(11.8%)次之,SAO(1.2%)最低;三个月的复发率:LAA(17.6%)最高,CE(8.6%)次之,SAO(2.4%)最低.(2)LAA、CE、UND、SAO亚型量表评定效度最好的分别为MESSS(-0.812)、ESS(0.816)、NIHSS(-0.807)、NIHSS(-0.795),信度和可操作性均为中等.结论 缺血性脑卒中TOAST分型各亚型中UND发病率最高,CE死亡率最高,LAA复发率最高,SAO死亡率和复发率最低;缺血性脑卒中TOAST分型各亚型中LAA最适合的量表是MESSS,CE最适合的量表是ESS,UND和SAO最适合的量表是NIHSS.
目的 探討缺血性腦卒中TOAST分型各亞型神經功能缺損的閤適臨床評定量錶.方法 選擇289例缺血性腦卒中患者進行前瞻性分析.結果 (1)缺血性腦卒中TOAST病因分型各亞型構成比:UND(36.6%)最大,SAO(29.8%)次之,OC(1.7%)最小;三箇月死亡率:CE(15.5%)最高,LAA(11.8%)次之,SAO(1.2%)最低;三箇月的複髮率:LAA(17.6%)最高,CE(8.6%)次之,SAO(2.4%)最低.(2)LAA、CE、UND、SAO亞型量錶評定效度最好的分彆為MESSS(-0.812)、ESS(0.816)、NIHSS(-0.807)、NIHSS(-0.795),信度和可操作性均為中等.結論 缺血性腦卒中TOAST分型各亞型中UND髮病率最高,CE死亡率最高,LAA複髮率最高,SAO死亡率和複髮率最低;缺血性腦卒中TOAST分型各亞型中LAA最適閤的量錶是MESSS,CE最適閤的量錶是ESS,UND和SAO最適閤的量錶是NIHSS.
목적 탐토결혈성뇌졸중TOAST분형각아형신경공능결손적합괄림상평정량표.방법 선택289례결혈성뇌졸중환자진행전첨성분석.결과 (1)결혈성뇌졸중TOAST병인분형각아형구성비:UND(36.6%)최대,SAO(29.8%)차지,OC(1.7%)최소;삼개월사망솔:CE(15.5%)최고,LAA(11.8%)차지,SAO(1.2%)최저;삼개월적복발솔:LAA(17.6%)최고,CE(8.6%)차지,SAO(2.4%)최저.(2)LAA、CE、UND、SAO아형량표평정효도최호적분별위MESSS(-0.812)、ESS(0.816)、NIHSS(-0.807)、NIHSS(-0.795),신도화가조작성균위중등.결론 결혈성뇌졸중TOAST분형각아형중UND발병솔최고,CE사망솔최고,LAA복발솔최고,SAO사망솔화복발솔최저;결혈성뇌졸중TOAST분형각아형중LAA최괄합적량표시MESSS,CE최괄합적량표시ESS,UND화SAO최괄합적량표시NIHSS.
Objective To investigate the clinical rating scale appropriate to evaluate neurological impairment of ischemic stroke subtypes classified by Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria. Methods 289 cases of hospitalized patients with ischemic stroke in neurological wards of the first affiliated hospital of Dalian medical university from December 1,2007 to December 31, 2009 were analyzed prospectively. Results The component ratio of ischemic stroke subtypes on the basis of TOAST etiological classification were as follows: UND (36.6%) was the largest, SAO (29.8%) followed,OC (1.7%) was the lowest. In three-month mortality, CE (15.5%) was the most, LAA (11.8%) followed, SAO (1.2%) was the lowest. In three-month relapse rate, LAA (17.6%) was the most, CE (8.6%) followed, SAO (2.4%) was the lowest. The best validity of scale assessment about LAA, CE,UND, SAO subtypes were MESSS (-0.812), ESS (0.816), NIHSS (-0.807), NIHSS (-0.795) respectively, both reliability and operability were set as medium. Conclusion In ischemic stroke subtypes classified by TOAST criteria, UND had the highest incidence (SAO has the highest incidence in the specific etiology), CE mortality was the highest, LAA had the highest rate of recurrence, SAO mortality and relapse rate were the lowest. In ischemic stroke subtypes classified by TOAST criteria, MESSS was the most suitable scale for LAA, the most appropriate scale for CE was ESS, the most appropriate scale for UND, and the SAO was NIHSS.
