脑血管结合 ESRS 对 NCE 患者再发的评估价值

目的：通过 Essen 卒中风险评分量表（ESRS）与脑血管评估结合对非心源性脑梗死（NCE）患者再发风险进行评估,探析其临床应用价值。方法：回顾性分析2011年7月～2014年12月在我院接受治疗的180例 NCE 患者的临床资料。分析入选者、有/无终点事件、ESRS 低/高风险组、血管狭窄轻/重度组间的一般资料。结果：根据有无终点事件可以将入选者分成有终点事件组（12例）和无终点事件组（120例）两组,两组患者高血压及糖尿病间有统计学差异,而吸烟史、NIHSS 评分等差异均无统计学意义。ESRS 低风险组和高风险组患者的年龄、高血压、糖尿病、其它心脏病、脑梗病/TIA 史以及第1、3年终点事件有统计学差异,而性别、外周血管病等无统计学差异。血管狭窄低于50%与血管狭窄不低于50%间的高血压、外周血管病、其它心脏病、脑梗死/TIA 史、入院第1dNIHSS 评分以及第1、3年再发缺血事件间差异显著;其余如年龄、性别等无显著差异。结论：ESRS 与脑血管评估结合在评估 NCE 患者再发风险方面有重要的临床价值。

The evaluation value of cerebral blood vessel combined with ESRS in patients with NCE

Objective Our retrospective study was aimed toanalyze the clinical value of ESRS combined with cerebral vascular assessment in assessing the recurrence risk of patients with NCE. Methods Clinical data of 180 patients with NCEre-ceived treatment at our hospitalfrom 2011 to 2014 was retrospectivelyanalyzed. The general information of selected patients, with or without an end event patients, ESRS low or high risk group, vascular stenosis / severe group were analyzed. Results Pa-tients include were divided into an end event(12 cases)and non-an end event group(120 cases)according to the patients with or without an end event. The hypertension and diabetes in two groups had statistical differences. The smoking history and NIHSS scores in two groups had no statistical difference. The age, hypertension, diabetes, other heart disease, cerebral infarction dis-ease history /TIA and an end event of the 1th, 3th year had statistical differences, but the age, peripheral vascular disease and so on had no statistical difference. The hypertension, peripheral vascular disease, other heart disease, cerebral infarction disease history /TIA, NIHSS scores of 1th day hospitalized and recurrent ischemic eventsof the 1th, 3th year had statistical differences, and the age, gender and so on ascular disease and so on had no statistical difference. Conclusion ESRS combined with cerebral vascular assessment has important role in assessing the recurrence risk of patients with NCE.