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| 缺血性卒中改良分型的研究 | |
| 引用本文： | 方瑞乐,马跃涛,王拥军. 缺血性卒中改良分型的研究[J]. 山东医药, 2011, 51(4): 6-7,10 |
| 作者姓名： | 方瑞乐 马跃涛 王拥军 |
| 作者单位： | 首都医科大学附属北京天坛医院,北京,100050 |
| 摘 要： | 目的分析该缺血性卒中改良分型（简称K-TOAST分型）的观察者间一致性以及各卒中亚型的比例,并与传统TOAST分型进行比较。方法 408例患者接受了前瞻性的全面脑血管检查,由2名神经内科医师独立进行了K-TOAST和TOAST分型,比较这两种分型的观察者间一致性及各亚型的构成比。结果 K-TOAST分型里比例最高的亚型是动脉粥样硬化型,其后是小动脉疾病、原因不明型、心源性栓塞型和其他病因型。传统TOAST分型分别为大动脉粥样硬化型、小动脉疾病、原因不明型、心源性栓塞型和其他病因型。新分型系统的观察者间一致性：Kappa值为0.83（P〈0.01）。结论 K-TOAST分型可减少原因不明型卒中患者数量,具有良好的观察者间一致性。 |
| 关 键 词： | 缺血性卒中 TOAST分型 脑动脉狭窄 |
The study of a modified ischemic stroke classification |
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| FANG Rui-le,MA Yue-tao,WANG Yong-jun. The study of a modified ischemic stroke classification[J]. Shandong Medical Journal, 2011, 51(4): 6-7,10 | |
| Authors: | FANG Rui-le MA Yue-tao WANG Yong-jun |
| Affiliation: | FANG Rui-le,MA Yue-tao,WANG Yong-jun(Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,P.R.China) |
| Abstract: | Objective To assess the interrater reliability and proportion of subtypes of the new classification system(K-TOAST) and compare those with TOAST.Methods A total of 408 consecutive patients with acute ischemic stroke were enrolled.All patients received prospective examination and were classified according to K-TOAST and TOAST,respectively.The interrater reliability and proportion of subtypes were assessed.Results The most frequent subtype of K-TOAST was atherothrombosis,followed by small artery disease,strok... |
| Keywords: | ischemic stroke TOAST cerebrovascula stenosis |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |