改良早期预警评分联合格拉斯哥评分在急性脑血管病入院病情评估中的应用价值

Study on the application value of modified early warning score combined with Glasgow score in the assessment of acute cerebrovascular disease admission

目的:对急性脑血管病患者,通过应用改良早期预警评分联合格拉斯哥评分进行入院病情评估,探讨其临床应用价值。方法:选取2016年6月~2017年6月诊断为急性脑血管病者,排除纳入标准后共289例,观察组采用改良早期预警评分联合格拉斯哥评分进行入院病情评估,对照组采用常规的格拉斯哥评分进行入院病情评估。再通过Barthel指数和改良Rankin评分进行预后结果评价,最后分析改良早期预警评分、格拉斯哥评分分别与Barthel指数和改良Rankin评分的相关性。结果:改早良期预警评分与Barthel指数呈负相关关系、与Rankin呈正相关关系,而格拉斯哥评分与Barthel指数呈正相关关系、与Rankin呈负相关关系。结论:应用改良早期预警评分联合格拉斯哥评分,临床观察方便,操作简单,可实现对急性脑血管病患者进行入院病情快速评估及分类,对患者治疗及预后有重大的预测价值。

Objective To evaluate the clinical value of modified early warning score combined with Glasgow score in patients with acute cerebrovascular disease. Method 289 patients with acute cerebrovascular disease diagnosed from June 2016 to June 2017 were excluded from the inclusion criteria,patients in the observation group were assessed with modified early warning score combined with Glasgow score,while patients in the control group were assessed with conventional Glasgow score.Then through the Barthel index and the improved RaKin score was evaluated for prognosis.Finally,the correlation between improved early warning score,Glasgow score and Barthel index and improved Rankin score were analyzed. Results The early good early warning score was negatively correlated with the Barthel index and positive correlation with Rankin,while the Glasgow score was positively correlated with the Barthel index.The relationship was negatively related to Rankin. Conclusion The improved drought early warning score combined with the Glasgow score is convenient for clinical observation and easy to operate.The rapid assessment and classification of hospitalized patients with acute cerebrovascular disease has great predictive value for the treatment and prognosis of patients.