面、臂、言语、时间评分量表对可疑脑卒中急诊患者快速评估和分诊的价值  

The value of using the Face Arm Speech Time Scale in the triage of suspected stroke patients at the emergency nursing station

作　　者：刘秀珍[1] 刘晓伟[1] 柯颖华[1] 吴智鑫[1] 

机构地区：[1]广州中医药大学附属佛山中医院,528000

出　　处：《中国医学创新》2011年第17期8-10,共3页Medical Innovation of China

摘　　要：目的研究急诊分诊护士使用面、臂、言语、时间评分量表(the Face Arm Speech Time,FAST)在急诊室对可疑脑卒中患者进行快速评估和分诊的价值。方法参照FAST,急诊分诊护士在急诊室登记护士站对可疑脑卒中患者进行快速评估和分诊,对患者的诊疗过程进行随访,参考综合临床诊断,计算FAST的评估时间、灵敏度、特异度、阳性似然比、阴性似然比、相关系数和Kappa值。结果本次研究中,急诊分诊护士使用FAST对114例可疑脑卒中患者在急诊室登记护士站进行了快速评估和分诊,平均耗时35秒,FAST的灵敏度76.9%、特异度69.4%、假阳性率30.6%、假阴性率23.1%、阳性似然比2.51、阴性似然比0.33、Kappa值0.463,相关系数0.420;参考综合临床诊断,由急诊分诊护士在急诊室登记护士站使用FAST对可疑脑卒中患者进行快速评估和分诊,差异有统计学意义(P<0.05)。FAST对可疑脑卒中患者筛选结果的一致性为中高度一致。结论在急诊室,由急诊分诊护士使用FAST对可疑脑卒中患者进行快速评估和分诊有一定的价值。Objective To explore the value of using the Face Arm Speech Time （FAST） Scale in the triage of suspected stroke patients at the emergency nursing station. Methods Emergency nurses prospectively used the FAST scale in the triage of suspected stroke patients at the emergency nursing station. The processes of patients＇ treatments were followed up. According to the final diagnosis, calculated the FAST scale like sensitivity（Se） , specificity（Sp） ,false negative rate（ Fnr）, false positive rate （Fpr） ,positive likelihood radio（ ＋ LR）, negative likelihood radio（ -LR）, related coefficient（r） and Kappa value. Results In this study, 114 suspected stroke patients were assessed by emergency nurses at the emergency nursing station. The CPSS showed a diagnostic Se76. 9% , Sp69. 4%, Fpr 30. 6% , Fnr 23.1% , ＋ LR2.51, - LR0. 33 and r0. 420 ; According to the final diagnosis, the FAST was useful in the triage of the suspected stroke patients at the emergency nursing station （P 〈 0. 05 ）. The Kappa statistic of the FAST was 0. 463 in the study. Conclusion The FAST was a useful stroke recognition instrument in the triage of suspected stroke patients at the emergency nursing station.

关 键 词：脑卒中 脑卒中识别 急诊室 急诊分诊 紧急医疗救援体系 

分 类 号：R473.74[医药卫生—护理学]