不同评分系统对急性脑梗死静脉溶栓后出血转化风险预测差异的比较研究

Comparative study on the differences of different scoring systems in risk prediction of hemorrhagic transformation after intravenous thrombolysis in acute cerebral infarction

目的探析不同评分系统对不同时间窗急性脑梗死静脉溶栓后出血转化风险预测差异的应用效果。方法选取我院2017年3月至2018年3月收治的64例急性脑梗死静脉溶栓患者,随机将其等分为对照组和研究组,对照组患者采用MSS模型量表测评,研究组采用HAT模型量表,比较两组患者静脉溶栓后出血转化预测发生率和出血转化预测满意度。结果研究组患者出血转化发生率高于对照组(P<0.05);在对两组患者静脉溶栓后出血转化进行预测时,研究组患者满意度高于对照组(P<0.05)。结论急性脑梗死发病迅速,死亡率较高,在发病4.5 h内给予静脉溶栓至关重要,HAT评分系统对静脉溶栓后转化具有更高的预测价值。

Objective To explore the application effect of different scoring systems on the risk prediction of hemorrhagic transformation after intravenous thrombolysis in acute cerebral infarction in different time windows.Methods A total of 64 cases of patients with acute cerebral infarction who underwent intravenous thrombolysis from March 2017 to March 2018 in our hospital were divided into control group and study group randomly.The control group was evaluated by MSS model scale,while the study group was evaluated by the HAT model scale.The predictive rate of hemorrhagic transformation and the satisfaction of hemorrhagic transformation prediction after intravenous thrombolysis in the two groups were compared.Results The incidence of hemorrhagic transformation in the study group was higher than that in the control group(P<0.05).The satisfaction of the study group was higher than that of the control group when predicting the hemorrhagic transformation after intravenous thrombolysis in the two groups(P<0.05).Conclusion Since acute cerebral infarction comes on quickly and has high mortality,it is essential to give intravenous thrombolysis within 4.5 hours after it comes on.The HAT scoring system has higher predictive value for transformation after intravenous thrombolysis.