神经功能缺损评分的比较研究──193例资料分析

Compare Analysis of the Neurological Functional Deficit Scales in 193 Patients with Acute Stroke

目的：比较３种神经功能缺损评分在评价脑血管病临床轻重程度、预后转归的相关性。方法：应用《中国卒中患者神经功能缺损评分标准》（ＣＳＳ）、《美国国立卫生研究所脑卒中评分》（ＮＩＨＳＳ）与《加拿大神经功能评分》（ＣＮＳ）对１９３例急性脑血管病临床轻重程度、预后转归进行评价。结果：３种神经功能评分均能对不同程度和类型脑血管病人作出临床评定，但ＣＮＳ评分数据变异小，能较客观评价不同部位出血和特殊部位脑梗死的临床状况；ＣＳＳ与ＣＮＳ和ＮＩＨＳＳ评价病情轻重和转归有同等价值，相关性较好。结论：ＣＳＳ能较好反映脑血管病人的病情轻重程度和２１ｄ的疾病转归情况，与ＮＩＨＳＳ、ＣＮＳ有很好的相关性。

Aim: To evaluate correlation between the neurological functional deficit scales and severity. prognosis of patients with stroke. Methods: 193 patients with acute stroke were tested with CSS, NIHSS and CNS, the compare analysis between this scales and the severity of patients at the onset,the prognosis at the end of 21 days. Results: All scales can assess the de- gree of the patients with difference severity and stroke subtype, but the divergence of CNS' data was less than the NIHSS and CSS,so CNS can be used better assessing the stroke of special region. There were correlations between the CSS and NIHSS. CNS in severity, prognosis of patients with stroke. Conclusion: CSS can be used assessing the severity, prognosis of patients with acute stroke, and there was a significant correlation with NIHSS and CNS.