ASTRAL量表评分对后循环急性脑梗死患者预后的评估价值分析

The value of ASTRAL scale to assess the prognosis of posterior circulation acute cerebral infarction

目的探讨ASTRAL量表评分评估后循环急性脑梗死患者预后的价值。方法选取后循环急性脑梗死患者200例作为研究对象,在患者入院治疗24 h内,采用ASTRAL量表进行评分,根据ASTRAL量表评分结果将患者分为高分组及低分组;患者治疗30 d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。比较预后优良组及预后不良组患者ASTRAL量表评分,比较ASTRAL量表评分高分(≥19分)组及低分(<19分)组患者的预后不良发生率,分析ASTRAL量表评分与患者预后的关系。结果 200例患者中,根据mRS量表评分的结果预后优良161例,预后不良39例;预后优良组患者ASTRAL量表评分显著高于预后不良组患者(P<0.05);ASTRAL量表评分越高,患者预后不良发生率越高(P<0.05);ASTRAL量表评分高分组患者预后不良发生率显著高于低分组患者(P<0.05)。结论 ASTRAL量表使用简便,所需患者的有关信息容易采集,不需要使用复杂的计算公式,医生可以快速地对患者的预后进行评估,对后循环急性脑梗死患者的预后判断具有一定的临床应用价值。

Objective To explore the value of ASTRAL scale to assess the prognosis of posterior circulation acute cerebral infarction. Methods A total of 211 patients with posterior circulation acute cerebral infarction were enrolled as the research objects, at 24 hours after admission, patients were given ASTRAL score, and were divided into high score group and low score group according to ASTRAL score; on 30 days after onset, patients were given mRS score to predict the prognosis, and were divided into favorable prognosis group and unfavorable prognosis group according to mRS score. The ASTRAL scores were compared between favorable prognosis group and unfavorable prognosis group, and the incidence of adverse reactions were compared between high score group （ASTRAL scores≥ 19） and low score group （ASTRAL scores 〈 19） , the relationship between ASTRAL scores and prognosis was analyzed. Results Among 200 cases patients, 161 cases had favorable prognosis, and 39 cases had unfavorable prognosis; the ASTRAL scores in the favorable prognosis group was significantly lower than those in the unfavorable prognosis group （ P 〈 0.05 ） ; the higher the ASTRAL score was, the higher the incidence of adverse reactions was （P 〈 0.05） ; the incidence of adverse reactions in the high score group was significantly higher than that in the low score group （P 〈 0.05 ）. Conclusions ASTRAL scale is simple and easy application, the patients information that the scale need collects easily, and is no need to use complex formulas, doctors can assess the prognosis of patients quickly, which has a certain appraisal value for the prognosis of patients with posterior circulation acute cerebral infarction.