脑梗死预警评分体系的建立与应用

Establishment and application of the early warning score-system of cerebral infarction

目的建立脑梗死的预警评分体系,并应用该体系预测脑梗死的发生风险。方法根据脑梗死危险因素在1 803例脑梗死患者中的发生频率,建立脑梗死发生的极高危、高危及危险风险的评分体系。从重庆渝中区石桥街道社区6 283名居民中抽取65岁以上人群943例,随访3年,应用此评分体系预测脑梗死的发生风险。结果943例65岁以上人群中,可能发生脑梗死的极高危风险组151例、高危组306例和危险组354例,随访3年后3组的脑梗死发生率分别为27.8%、19.3%和10.7%,组间比较差异有统计学意义(P<0.01)。结论作者建立的脑梗死预警评分体系能够正确提示脑梗死的发生风险,对脑梗死的预防有一定的指导意义。

Objective To establish and applicate the early warning score-system of cerebral infarction to predict the risk of cerebral infarction. Methods The early warning score-system of cerebral infarction including very high risk,high risk and risk was establishcd on the basis of the occurrence frequency of risk factors of cerebral infarction in 1803 patients with cerebral infarction. Then the early warning score-system was used to predict occurrence risk of cerebral infarction of 943 residents age more than 65 years taken suction from Shiqiao Street community of Yuzhong Region of Chongqing,who were followed up for 3 years. Results In the 943 residents without cerebral infarction,there were 1,51 residents with very high risk of cerebral infarction, 306 with high risk and 35/1 with risk. A! the end of 3-year follow-up,the incidence of cerebral infarction in the three risk groups was 27.8%,19.1% and 10.9% respectively（P〈0.01）. Conclusion The early warning score-system of cerebral infarction we established can correctly prompt the occurrence risk of cerebral infarction and is of significance for guiding to prevent cerebral infarction.