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目的:探讨急诊脑卒中识别评分量表(ROSIER)在社区脑卒中患者早期识别与转诊中的应用价值。方法:全科医师在社区卫生服务中心使用ROSIER评分量表和FAST评分量表对首诊的可疑脑卒中患者440例进行评估,比较两种评分量表的临床应用价值。结果:与最终临床诊断结果相比,ROSIER和FAST评分量表均可用于社区可疑脑卒中的识别,使用ROSIER评分量表和FAST评分量表对社区可疑脑卒中患者进行评估的Kappa值分别为0.703和0.568。结论 :与FAST评分量表比较,社区卫生服务中心医师使用ROSIER评分量表可更好地早期快速识别和转运可疑脑卒中患者。
Objective: To investigate the value of ROSIER in the early identification and referral of community stroke patients. Methods: General practitioners in the community health service center using the ROSIER score scale and the FAST scoring questionnaire for the first visit of 440 cases of suspected stroke patients to assess the clinical value of two scoring scales. Results: The ROSIER and FAST scoring scales were both used to identify suspicious stroke in the community compared with the final clinical diagnosis. The Kappa values of the community suspicious stroke patients assessed using the ROSIER and FAST scoring scales were 0.703 And 0.568. CONCLUSIONS: Compared to the FAST scorer, community health service physicians use the ROSIER rating scale to better identify early early and transit suspicious stroke patients.