急性脑卒中临床计量量表研究

• 作 者: 张海南 胡治平 蒋波 宋兴旺
• 机 构: Second Hospital of Central South University, Changsha 410011, China
• 出 处: 中国临床康复
• 发表日期: 2002年23期
• 关键词: cerebral stroke clinical measuring scale diagnosis

Objective To explore the possibility of diagnosis types of acute stroke, elevating treatment quality and promoting prognosis with acute stroke clinical measuring scale . Methods To gain a measuring scale formula and simplify this formula after stepwise regression Fisher distinguish analysis to 18 clinical variable of 184 acute stroke patients and to validate its sensitivity, specificity and positive foretell value to diagnosis of acute stroke. Results We gained scale that Y=0.617× action+ 0.485× BP+ 1.241× headache+ 0.74× vomiting+ 0.955× cervical resistance-1.215× TIA-0.727× heart disease-2.78; sensitivity of this formula to diagnosis of cerebral infarction and cerebral hemorrhage was 90.5% and 70% respectively, its specificity was 70% and 90.5% respectively, positive foretell value was 71.7% and 89.7% ( Y≥ 0 means cerebral hemorrhage, Y<0 means cerebral infarction) . Simple formula is S=0.5× action+ 0.5× BP+ 1× headache+ 1× vomiting+ 1× cervical resistance-1× TIA-1× hear disease-3; its sensitivity was 89.3% and 68% , specificity was 68% and 89.3% , positive foretell value was 70.1% and 88.3% .There was no apparent difference in sensitivity; specificity and positive foretell value between two formulas. Conclusion Acute stroke clinical measuring scale can help early diagnosis, treatment and rehabilitation of cerebral stroke patients.