ASTRAL评分、iScore评分对血管内治疗的急性脑梗死预后预测价值  

The Prognostic Value of ASTRAL Score and iScore Score in Endovascular Treatment of Acute Cerebral Infarction

作　　者：王永红[1] 潘伟[1] 李俊霞[1] 彭玉华[1] WANG Yong-hong;PAN Wei;LI Jun-xia;PENG Yu-hua(Department of Neurology,Liaocheng Second People's Hospital(Liaocheng Second Hospital Affiliated to Shandong First Medical University),Liaocheng,Shandong Province,252600 China)

机构地区：[1]聊城市第二人民医院(山东第一医科大学附属聊城二院)神经内科,山东聊城252600

出　　处：《中外医疗》2020年第29期30-32,共3页China & Foreign Medical Treatment

摘　　要：目的探讨ASTRAL和iScore评分对血管内治疗患者预后有无预示价值。方法方便选取2016年3月—2018年3月发病<24 h并在该院行血管内介入治疗的急性脑梗死患者,所有患者采用ASTRAL、iScore评分进行评估,患者发病3个月时,采用mRS量表对患者的预后进行评估,并根据mRS量表评分的结果将患者分为预后优良组与预后不良组。分析ASTRAL、iScore评分与患者预后的关系。结果预后良好ASTRAL、iScore评分的中位数得分为24.4(20.6~28.0)分、147.5(122.0~166.7)分;不良预后组ASTRAL、iScore评分的中位得分为36.8(32.4~43.8)分、196.0(183.0~287.0)分,预后良好组的ASTRAL、iScore评分均低于预后不良组,差异有统计学意义(P<0.05),iScore评分的ROC曲线的AUC为0.837,ASTRAL评分(AUC为0.816),二者价值相当,差异无统计学意义(Z=1.212,P=0.151)。结论ASTRAL、iScore评分对对血管内治疗的急性脑梗死预后有预测价值。Objective To investigate whether ASTRAL and iScore scores have predictive value for the prognosis of patients with endovascular treatment.Methods The patients with acute cerebral infarction who had the onset of less than 24 h and received endovascular interventional therapy in the hospital from March 2016 to March 2018 were conveniently selected.All patients were evaluated by ASTRAL and iScore scores.At 3 months after the onset of the patients,the prognosis of the patients was evaluated by the mRS scale.The results of the mRS scale score divided patients into an excellent prognosis group and a poor prognosis group.Analyze the relationship between ASTRAL,iScore score and patient prognosis.Results The median scores of ASTRAL and iScore scores with good prognosis were 24.4(20.6~28.0)points and 147.5(122.0~166.7)points;the median scores of ASTRAL and iScore scores in the poor prognosis group were 36.8(32.4~43.8)points,196.0(183.0~287.0)points.The ASTRAL and iScore scores of the good prognosis group were lower than those of the poor prognosis group,the difference was statistically significant(P<0.05).The ROC curve of the iScore score had an AUC of 0.837 and ASTRAL score(AUC of 0.816),both of which were of equal value,the difference was not statistically significant(Z=1.212,P=0.151).Conclusion ASTRAL and iScore scores have predictive value for the prognosis of acute cerebral infarction after endovascular treatment.

关 键 词：急性脑梗死 血管内治疗 ASTRAL量表 iScore量表 短期预后 

分 类 号：R4[医药卫生—临床医学]