| 脑出血的经典临床评测量表及改良 |
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| 引用本文： | 陆菁菁,赵性泉. 脑出血的经典临床评测量表及改良[J]. 中国卒中杂志, 2012, 7(2): 141-145 |
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| 作者姓名： | 陆菁菁 赵性泉 |
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| 作者单位： | 北京首都医科大学附属北京天坛医院神经内科 |
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| 基金项目： | 北京市卫生系统高层次卫生技术人员培养计划（2009-3-27） |
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| 摘 要： | 脑出血（intracerebral hemorrhage，ICH）是最为严重的卒中类型，致死、致残率甚高。ICH的评估量表对于制定标准化临床治疗方案，评价不同研究间的均衡性至关重要。自2001年首个ICH评估量表问世以来，其有效性得到了充分的外部验证；并有多项研究致力于通过改良这一量表来提供更优秀的ICH预后评测工具。本文主要针对经典的原始脑出血评分（the original ICH，oICH）及其改良量表从研究背景、方法学、评估指标、外部验证等几个方面进行综述，以期阐明其适用范围和临床效度，为临床医师按需选择提供参考。
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| 关 键 词： | 脑出血 评估量表 死亡率 预后 评估 |
| 收稿时间： | 2011-06-30 |
Original Grading Scales of Intracerebral Hemorrhage and Its Modifications |
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| LU Jing-Jing , ZHAO Xing-Quan. Original Grading Scales of Intracerebral Hemorrhage and Its Modifications[J]. Chinese Journal of Stroke, 2012, 7(2): 141-145 |
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| Authors: | LU Jing-Jing ZHAO Xing-Quan |
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| Affiliation: | . Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China |
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| Abstract: | Intracerebral hemorrhage（ICH） is the most serious stroke type and carries higher risk of mortality and disability. Grading scales of ICH are essential for selecting standard treatment regiments and comparison of patient selection and treatment efficacy for clinical trials. Since the first grading scale was introduced by Hemphill in 2001, its efficiency has been confirmed by external validations, and a number of modified grading scales and prognostic models based on the original ICH score have been developed for clinicians. We extensively reviewed the academic and social backgrounds, study methodologies, scale definitions and external validations of classical ICH grading scales in this article. Our purpose is to elucidate range of application and validating intensity of different grading scales of ICH. |
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| Keywords: | Intracerebral hemorrhage Clinical grading scale Mortality Outcome, measure |
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