ABCD^2评分对缺血性脑卒中患者中长期预后的预测价值

Value of ABCD^2 Score in Predicting Medium-and Long-Term Prognosis in Patients with Ischemic Stroke

目的探讨ABCD^2评分对缺血性脑卒中患者中长期预后的预测价值。方法以2014年3月—12月医院神经内科收治的缺血性脑卒中患者184例为研究对象,依据入院前ABCD^2评分将患者分低危组40例、中危组76例、高危组68例,以能处理个人事务是否需要帮助为界,电话回访患者出院半年后的临床症状好转情况,根据改良Rankin量表分级标准将出院半年后患者分为自理组126例、需帮助组56例,比较出院半年后各组的病情好转情况。结果低危组、中危组、高危组出院半年后自理率分别为90.00%、77.63%、45.59%,需帮助率分别为5.00%、19.74%、48.53%,低危组需帮助率明显低于中危组和高危组(P<0.05),中危组需帮助率明显低于高危组(P<0.05),低危组和中危组自理率高于高危组(P<0.05)。结论 ABCD^2评分对缺血性脑卒中患者中长期预后有较高的预测价值。

Objective To discuss the value of ABCD2 score in predicting medium and long - term prognosis in pa-tients with ischemic stroke. Methods 184 patients with ischemic stroke admitted to department of neurology from March 2014 to December 2014 were selected as the research object. According to the ABCD2 score points prior to admission, the pa-tients were divided into 3 groups ： 40 cases in the low risk group, 76 in the moderate group and 68 in the high risk group based on whether or to what extent he was able to do self care. The phone call reviews were made for the clinical symptoms of patients discharged from the hospital after six months. . According to the modified Rankin scale classification standard, the patients discharged from the hospital after six months were divided into 2 groups ： 126 cases in the self - care group and 56 ca-ses in care - needing group. The groups were compared in terms of conditions. Results The self - care rate in the low risk group was 90. 00% , the moderate group 77. 63% and the high - risk group 45. 59%. The care needing rates in the three groups was 5% , 19. 74% and 48. 53% , respectively. The care needing rate in the low risk group was obviously lower than that in the moderate - risk group and the high risk group （P 〈0.05）. The care needing rate in the moderate risk group was obviously lower than that in the high risk group （ P 〈 0. 05 ）. The self - care rates in the low risk group and the moderate group were higher than that in the high risk group （ P 〈 0. 05 ） . Conclusion The ABCD2 score has a higher predictive value for medium and long - term prognosis in patients with ischemic stroke.