基础NIHSS评分、血管闭塞对预测早期急性脑梗死患者预后的价值

目的探讨急性脑梗死临床预后与NIHSS评分、血管闭塞的关系。方法比较无血管闭塞组和血管闭塞组,及不同NIHSS评分与急性脑梗死患者临床预后的关系。结果无血管闭塞组与血管闭塞组相比较,得出两组间有差异的有:房颤史(P=0.013)、基础NIHSS评分(P<0.01)、住院时间(P=0.01)及行MRA时间(P<0.01)。且无血管闭塞组预后好转率(57.3%)明显优于血管闭塞组(25.0%)(χ2=16.959,P<0.01)。基础NIHSS评分≤7分组的预后好转率(69.0%)明显优于>7分组(14.3%)(χ2=49.194,P<0.01)。结论可运用NIHSS评分来评估急性脑梗死患者的病情严重程度及临床预后,简单、实用且敏感性较高。

The relationships among prognosis of acute cerebral infarction,NIHSS score,vessel occlusion

Objective To explore the relationships of NIHSS score,vessel occlusion and prognosis of acute cerebral infarction. Methods Compared non-occlusion group and occlusion group. Relationships among prognosis of patients, baseline NIH stroke scale score and the different vascular state were compared. Results There were some differences between non-occlusion group and occlusion group, atrial fibrillation （P=0.013）, baseline NIHSS score （P〈0.01）, duration of hospitalization（P=0.01） and with MRA time of symptom onset（P〈0.01）. There was a significant difference in the prognosis of non-occlusion group （57.3%） was significantly better than occlusion group （25.0%） （X2=16.959, P〈0.01）. Baseline NIHSS score ≤7 points group （69.0%） was significantly better than NIHSS score〉7 points group（14.3%）（X2=49.194, P〈0.01）. Conclusion NIH stroke scale score is simple, practical and sensitive for assess acute cerebral infarction severity and outcomes of stroke.