ASTRAL和PLAN评分对急性缺血性脑卒中患者出院3个月不良结局评估价值分析

Value of ASTRAL and PLAN Score in Evaluating Adverse Outcomes of Patients with Acute Ischemic Stroke After Discharge for 3 Months

目的探讨ASTRAL和PLAN评分对急性缺血性脑卒中(AIS)患者出院3个月不良结局的评估价值。方法选择2016年1月至2018年1月我院收治的80例急性缺血性脑卒中患者为研究对象,分别在患者入院后采用ASTRAL和PLAN评分法进行评分,并对出院3个月后的预后结局进行随访,根据随访结果绘制ROC曲线。结果出院3个月后随访,预后良好34例,不良结局共46例;预后良好患者ASTRAL及PLAN评分均显著低于不良结局患者(P<0.001);ASTRAL和PLAN评分的ROC曲线下面积AUC值分别为0.856和0.847,预测结果均具有统计学差异(P<0.001);ASTRAL与PLAN评分预测比较差异无统计学意义(P>0.05)。结论ASTRAL和PLAN评分对AIS患者出院3个月不良结局的评估均具有较高的预测价值,两种方法各具优点,临床可根据实际情况合理选择。

Objective To explore the value of ASTRAL and PLAN score in evaluating the adverse outcomes of acute ischemic stroke patients discharged from hospital for 3 months.Methods 80 patients with acute ischemic stroke admitted to our hospital from January 2016 to January 2018 were selected as the study subjects.ASTRAL and PLAN scoring methods were used to score the patients after admission,and the prognosis outcome was followed up three months after discharge.ROC curve was drawn according to the follow-up results.Results After 3 months’follow-up,34 patients had a good prognosis of 42.50%and 46 patients had a bad outcome of 57.50%.The ASTRAL and PLAN scores of patients with good prognosis were significantly lower than those with bad outcome(P<0.001);the AUC values of ASTRAL and PLAN were 0.856 and 0.847,respectively,and the predicted results were significant,P<0.001;there was no significant difference between ASTRAL and PLAN scores(P>0.05).Conclusion ASTRAL and PLAN scores have high predictive value in evaluating adverse outcomes of AIS patients discharged from hospital for 3 months.Both methods have their own advantages and can be reasonably selected according to the actual situation.