皖南医学院学报
皖南醫學院學報
환남의학원학보
Acta Academiae Medicinae Wannan
2015年
5期
423-426
,共4页
桑贵蕊%葛良%陈传国%黄显军%周志明
桑貴蕊%葛良%陳傳國%黃顯軍%週誌明
상귀예%갈량%진전국%황현군%주지명
脑卒中识别%院前急救%ROSIER评分量表%FAST评分量表
腦卒中識彆%院前急救%ROSIER評分量錶%FAST評分量錶
뇌졸중식별%원전급구%ROSIER평분량표%FAST평분량표
stroke recognition%pre-hospital emergency care%ROSIER scale%FSAT scale
目的：探讨急诊脑卒中识别评分量表（the recognition of stroke in the emergency room ，ROSIER）和面、臂、言语、时间评分量表（ facial drooping ，arm weakness ，speech difficulties and time ，FAST）对急诊疑似卒中患者的筛查价值。方法：对237例芜湖市第二人民医院经急诊就诊疑似脑卒中患者，使用ROSIER和FAST评分量表进行筛查，并根据患者的头颅CT或磁共振，结合专科诊疗明确最终确诊，分析比较两种量表的应用价值。结果：237例患者最终确诊卒中177例，非卒中患者60例。两组患者在年龄﹑吸烟史、饮酒史、高血压、ROSIER评分、FAST评分差异有统计学意义（P均＜0．05）。 Logistic回归分析发现，年龄（OR＝1．051，95％CI：1．020～1．084，P＝0．001）﹑高血压病（OR＝2．721，95％CI：1．190～6．224，P＝0．018）和ROSIER评分（OR＝92．960，95％CI：8．098～167．064，P＝0．001）与脑卒中患者显著相关。 ROSIER评分量表的敏感度为79．66％，特异度为86．66％，阳性预测值为94．63％，阴性预测值为59．09％，FAST评分量表的敏感度为76．27％，特异度为81．66％，阳性预测值为92．46％，阴性预测值为53．85％。结论：在急诊急救中，对可疑脑卒中患者的临床筛查，ROSIER评分量表优于FAST评分量表。
目的：探討急診腦卒中識彆評分量錶（the recognition of stroke in the emergency room ，ROSIER）和麵、臂、言語、時間評分量錶（ facial drooping ，arm weakness ，speech difficulties and time ，FAST）對急診疑似卒中患者的篩查價值。方法：對237例蕪湖市第二人民醫院經急診就診疑似腦卒中患者，使用ROSIER和FAST評分量錶進行篩查，併根據患者的頭顱CT或磁共振，結閤專科診療明確最終確診，分析比較兩種量錶的應用價值。結果：237例患者最終確診卒中177例，非卒中患者60例。兩組患者在年齡﹑吸煙史、飲酒史、高血壓、ROSIER評分、FAST評分差異有統計學意義（P均＜0．05）。 Logistic迴歸分析髮現，年齡（OR＝1．051，95％CI：1．020～1．084，P＝0．001）﹑高血壓病（OR＝2．721，95％CI：1．190～6．224，P＝0．018）和ROSIER評分（OR＝92．960，95％CI：8．098～167．064，P＝0．001）與腦卒中患者顯著相關。 ROSIER評分量錶的敏感度為79．66％，特異度為86．66％，暘性預測值為94．63％，陰性預測值為59．09％，FAST評分量錶的敏感度為76．27％，特異度為81．66％，暘性預測值為92．46％，陰性預測值為53．85％。結論：在急診急救中，對可疑腦卒中患者的臨床篩查，ROSIER評分量錶優于FAST評分量錶。
목적：탐토급진뇌졸중식별평분량표（the recognition of stroke in the emergency room ，ROSIER）화면、비、언어、시간평분량표（ facial drooping ，arm weakness ，speech difficulties and time ，FAST）대급진의사졸중환자적사사개치。방법：대237례무호시제이인민의원경급진취진의사뇌졸중환자，사용ROSIER화FAST평분량표진행사사，병근거환자적두로CT혹자공진，결합전과진료명학최종학진，분석비교량충량표적응용개치。결과：237례환자최종학진졸중177례，비졸중환자60례。량조환자재년령﹑흡연사、음주사、고혈압、ROSIER평분、FAST평분차이유통계학의의（P균＜0．05）。 Logistic회귀분석발현，년령（OR＝1．051，95％CI：1．020～1．084，P＝0．001）﹑고혈압병（OR＝2．721，95％CI：1．190～6．224，P＝0．018）화ROSIER평분（OR＝92．960，95％CI：8．098～167．064，P＝0．001）여뇌졸중환자현저상관。 ROSIER평분량표적민감도위79．66％，특이도위86．66％，양성예측치위94．63％，음성예측치위59．09％，FAST평분량표적민감도위76．27％，특이도위81．66％，양성예측치위92．46％，음성예측치위53．85％。결론：재급진급구중，대가의뇌졸중환자적림상사사，ROSIER평분량표우우FAST평분량표。
Objective:To assess the utility of determining stroke mimics using the Recognition of Stroke in the Emergency Room ( ROSIER) and Facial drooping,Arm weakness,Speech difficulties and Time(FAST)scales as a stroke recognition tool in a Chinese emergency department.Methods:A total of 237 suspected stroke patients were enrolled in the Emergency Room of Wuhu No.2 People′s Hospital,and prospectively screened with ROSIER scale and FAST scale.Final diagnosis was based on the head CT or MRI findings and specialist consultants ,and the scoring on the two scales was compared pertain-ing to the sensitivity ( Se) ,specificity ( Sp) ,positive predictive value ( PPV) and negative predictive value ( NPV) .Results:In 237 cases,177 were con-firmed as stroke and 60 as stroke mimics.Scoring of the two groups on the two scales were different regarding the age,history of cigarette smoking,alcohol intake and hypertension(P<0.05).Logistic regression analysis revealed that age (OR=1.051,95%CI:1.020-1.084,P=0.001),hypertension (OR=2.721,95%CI:1.190-6.224,P=0.018) and ROSIER scale (OR=92.96,95%CI:8.098-167.064,P=0.001) were independent risk factors for stroke patients.The ROSIER scale showed a diagnostic Se,Sp,PPV and NPV of 79.66%,86.66%,94.63% and 59.09%,respectively,compared to 76.27%,81.66%,92.46% and 53.85% by FSAT.Conclusion:The ROSIER scale has superiority to FAST scale in determining the stroke mimics as a stroke recognition tool in emergency settings.
