联合应用ESRS和血清总胆固醇预测脑梗死复发风险  

Recurrent stroke risk prediction in cerebral infarction patients with ESRS and TC

作　　者：赵宗友[1] 刘守山[1] 杨晓莉[1] 康燕[1] 孟凡浩[1] 

机构地区：[1]安徽省阜南县人民医院神经内科,安徽阜阳236300

出　　处：《安徽医药》2010年第11期1324-1326,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨联合应用Essen卒中风险评分量表（ESRS）和血清总胆固醇（TC〉5.2 mmol.L-1）对脑梗死复发的预测价值。方法根据ESRS评分表及TC值对507例脑梗死患者进行复发预测,并观察1年内脑梗死复发率。结果脑梗死后1年复发率约为10.3%。联合应用ESRS评分和TC与ESRS评分ROC曲线下面积（95%C I）分别为0.805（0.742~0.868）、0.682（0.612~0.752）。结论联合应用ESRS评分和TC值的预测价值高于ESRS评分。联合应用ESRS评分和TC值是预测脑梗死复发的一种比较有效的方法。Aim To explore the ability of ESRS and TC to predict recurrent stroke of cerebral infarction patients.Methods 507 cerebral infarction patients were evaluated according to ESRS and TC.The occurrences of recurrence stroke were observed in 1 year.Results The total recurrence rate in 1 year was 10.3%.The AUCs（95%CI） of ESRS ＋ TC and ESRS were 0.805（0.742~0.868） and 0.682（0.612~0.752）.Conclusion The predictive accuracy of the ESRS and TC is significantly higher than that of ESRS.ESRS ＋ TC criteria is effective to predict the occurrence of recurrent stroke of cerebral infarction patients.

关 键 词：Essen卒中风险评分量表(ESRS) 总胆固醇(TC) 脑梗死 复发 

分 类 号：R743.3[医药卫生—神经病学与精神病学]