中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
22期
35-37
,共3页
王东升%王红练%葛平%梅蕊
王東升%王紅練%葛平%梅蕊
왕동승%왕홍련%갈평%매예
卒中%超声检查,多普勒,经颅%预后%改良美国国立卫生研究院神经功能缺损量表
卒中%超聲檢查,多普勒,經顱%預後%改良美國國立衛生研究院神經功能缺損量錶
졸중%초성검사,다보륵,경로%예후%개량미국국립위생연구원신경공능결손량표
Stroke%Ultrasonography%Doppler%transcranial%Prognosis%Modified National Institutes of Health Stroke Scale
目的 探讨改良美国国立卫生研究院神经功能缺损量表(mNIHSS)评分联合床旁经颅彩色多普勒超声(TCD)检查对急性缺血性卒中(AIS)早期预后的评估价值.方法 共纳入136例前循环AIS患者,入院即进行mNIHSS评分,急诊床旁TCD检查评估血管异常情况;经积极治疗出院后,跟进改良Rankin量表(mRS)评分结果,评估发病90 d的预后情况,分析联合应用mNIHSS评分与TCD检查对预后评估的价值.结果 以入院mNIHSS评分＞8分预测临床预后不良,敏感度为0.684,特异度为0.806,阳性预测值为0.578,阴性预测值为0.868;以TCD提示血管异常预测临床预后不良,敏感度为0.736,特异度为0.643,阳性预测值为0.444,阴性预测值为0.863;联合应用mNIHSS评分与TCD检查预测临床预后不良,特异度为0.918,阳性预测值为0.714,阳性似然比为6.41;二者均不具备时,阴性预测值为0.928,阴性似然比为0.20.结论 联合应用mNIHSS评分与TCD检查评估AIS患者的90d预后,可提高阳性和阴性预测值.
目的 探討改良美國國立衛生研究院神經功能缺損量錶(mNIHSS)評分聯閤床徬經顱綵色多普勒超聲(TCD)檢查對急性缺血性卒中(AIS)早期預後的評估價值.方法 共納入136例前循環AIS患者,入院即進行mNIHSS評分,急診床徬TCD檢查評估血管異常情況;經積極治療齣院後,跟進改良Rankin量錶(mRS)評分結果,評估髮病90 d的預後情況,分析聯閤應用mNIHSS評分與TCD檢查對預後評估的價值.結果 以入院mNIHSS評分＞8分預測臨床預後不良,敏感度為0.684,特異度為0.806,暘性預測值為0.578,陰性預測值為0.868;以TCD提示血管異常預測臨床預後不良,敏感度為0.736,特異度為0.643,暘性預測值為0.444,陰性預測值為0.863;聯閤應用mNIHSS評分與TCD檢查預測臨床預後不良,特異度為0.918,暘性預測值為0.714,暘性似然比為6.41;二者均不具備時,陰性預測值為0.928,陰性似然比為0.20.結論 聯閤應用mNIHSS評分與TCD檢查評估AIS患者的90d預後,可提高暘性和陰性預測值.
목적 탐토개량미국국립위생연구원신경공능결손량표(mNIHSS)평분연합상방경로채색다보륵초성(TCD)검사대급성결혈성졸중(AIS)조기예후적평고개치.방법 공납입136례전순배AIS환자,입원즉진행mNIHSS평분,급진상방TCD검사평고혈관이상정황;경적겁치료출원후,근진개량Rankin량표(mRS)평분결과,평고발병90 d적예후정황,분석연합응용mNIHSS평분여TCD검사대예후평고적개치.결과 이입원mNIHSS평분＞8분예측림상예후불량,민감도위0.684,특이도위0.806,양성예측치위0.578,음성예측치위0.868;이TCD제시혈관이상예측림상예후불량,민감도위0.736,특이도위0.643,양성예측치위0.444,음성예측치위0.863;연합응용mNIHSS평분여TCD검사예측림상예후불량,특이도위0.918,양성예측치위0.714,양성사연비위6.41;이자균불구비시,음성예측치위0.928,음성사연비위0.20.결론 연합응용mNIHSS평분여TCD검사평고AIS환자적90d예후,가제고양성화음성예측치.
Objective To explore the evaluation value of modified USA National Institutes of Health Stroke Scale (mNIHSS) score combined with bedside transcranial Doppler ultrasonography (TCD) on the early prognosis of ischemic stroke (AIS).Methods One hundred and thirty-six anterior circulation AIS patients were collected,mNIHSS score was evaluated on admission,and emergency bedside TCD examination was performed to evaluate vascular anomalies.After active treatment after discharge,the modified Rankin scale (mRS) score was recorded to evaluate 90 d prognosis.The value of mNIHSS score combined with TCD examination analysis on the prognosis was analyzed.Results If the mNIHSS score ＞ 8 scores was judged to be poor prognosis,the sensitivity was 0.684,the specificity was 0.806,the positive predictive value was 0.578,the negative predictive value was 0.868.If related macro vascular abnormalities in bedside TCD examination were evaluated for clinical prognosis,the sensitivity was 0.736,the specificity was 0.643,the positive predictive value was 0.444,the negative predictive value was 0.863.If both,the specificity was 0.918,the positive predictive value was 0.714,the positive likelihood ratio was 6.41 ;and the two were not available,the negative predictive value was 0.928,negative likelihood ratio was 0.20.Conclusion mNIHSS score combined with TCD examination in evaluating the prognosis of AIS patients can improve the positive or negative predictive value.
