| GCS和NIHSS对基底动脉尖综合征临床转归的预测 |
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| 引用本文： | 翟登月,魏宁,吴波娜,卢婷婷,刘文华,高海宁,陈兆耀,徐格林,刘新峰.GCS和NIHSS对基底动脉尖综合征临床转归的预测[J].中国神经精神疾病杂志,2010,36(3). |
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| 作者姓名： | 翟登月 魏宁 吴波娜 卢婷婷 刘文华 高海宁 陈兆耀 徐格林 刘新峰 |
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| 作者单位： | 南方医科大学南京临床学院南京军区南京总医院神经内科,南京,210002 |
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| 基金项目： | 江苏省自然科学基金资助项目 |
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| 摘 要： | 目的探讨格拉斯哥昏迷评分(Glasgow Coma Scale,GCS)及美国国立卫生院神经功能缺损评分(National Institutes of Health Stroke Scale,NIHSS)对基底动脉尖综合征(top of the basilar syndrome,TOBS)转归的预测价值。方法从南京卒中注册系统中筛选出符合基底动脉尖综合征诊断的64例患者,根据卒中后30d改良Rankin量表评分(modified Rankin Scale,mRS)分为好转组(0~3分)和不良转归组(4~6分),对两组入院时GCS、NIHSS评分进行回顾性分析。结果不良转归组中GCS分值低于好转组(P0.01);NIHSS分值均高于好转组(P=0.011)。经Logistic回归校正年龄、性别及治疗方式3个因素后,GCS评分OR值0.301(95%CI0.167~0.542);NIHSS评分OR值1.436(95%CI1.147~1.796),二者均为独立预测因素。ROC曲线分析显示,以GCS分值10分作为预测TOBS预后的界点,其灵敏度87.9%,特异度83.9%;以NIHSS分值14分作为界点,灵敏度63.6%,特异度77.4%。结论GCS、NIHSS均是基底动脉尖综合征转归重要的预测指标;GCS≤10分、NIHSS≥14分对于基底动脉尖综合征患者不良转归均有重要的预测价值,GCS预测效价高于NIHSS。
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| 关 键 词： | 基底动脉尖综合征 预测值 |
Prognostic value of GCS and NIHSS in patients with acute top of basilar syndrome |
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| ZHAI Dengyue,WEI Ning,WU Bona,LU Tingting,LIU Wenhua,GAO Haining,CHEN Zhaoyao,XU Gelin,LIU Xinfeng.Prognostic value of GCS and NIHSS in patients with acute top of basilar syndrome[J].Chinese Journal of Nervous and Mental Diseases,2010,36(3). |
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| Authors: | ZHAI Dengyue WEI Ning WU Bona LU Tingting LIU Wenhua GAO Haining CHEN Zhaoyao XU Gelin LIU Xinfeng |
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| Institution: | ZHAI Dengyue,WEI Ning,WU Bona,LU Tingting,LIU Wenhua,GAO Haining,CHEN Zhaoyao,XU Gelin,LIU Xinfeng.Department of Neurology,Jinling Hospital,Southern Medical University,Nanjin 210002,China |
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| Abstract: | Objective To assess the effectiveness of initial Glasgow Coma Scale(GCS)and National Institutes of Health Stroke Scale(NIHSS)as predictors for clinical outcomes in patients with top of the basilar syndrome(TOBS).Methods A total of 64 patients with TOBS were selected from Nanjing Stroke Registration Program(NSRP).Initial GCS and NIHSS were retrospectively evaluated by reviewing patients' records for details of clinical presentation and outcomes at 30 days measured by modified Rankin Scale(mRS)score.Patients ... |
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| Keywords: | GCS NIHSS Top of basilar artery syndrome GCS NIHSS Prognostic value |
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