THRIVE评分预测头颅MRI指导的静脉溶栓后脑出血

The totaled health risks in vascular events predict cerebral hemorrhage after intravenous thrombolysis guided by cerebral magnetic resonance imaging

目的 评估血管事件健康风险(THRIVE)评分对头颅MRI指导的静脉溶栓后患者脑出血的预测价值。方法 根据溶栓后有无脑出血分为脑出血组和非脑出血组,分析两组间THRIVE评分有无统计学差异。结果 头颅MRI指导的静脉溶栓后脑出血组THRIVE评分明显高于非脑出血组(P=0.000),两组间心房颤动(P=0.000)和溶栓前NIHSS评分(P=0.000)差异有统计学意义。结论 THRIVE评分与头颅MRI指导的静脉溶栓患者脑出血相关,而心房颤动和溶栓前NIHSS评分独立相关。

Objective This study aimed to investigate the predictive value of the Totaled Health Risks in Vascular Events(THRIVE)in respect of cerebral hemorrhage after intravenous thrombolysis guided by cerebral magnetic resonance imaging(MRI).Methods According to the outcome after intravenous thrombolysis guided by cerebral MRI,they were classified into cerebral hemorrhage group and non-cerebral hemorrhage group,to analyze whether there was difference between the two groups on the aspects of THRIVE score.Results The THRIVE score of cerebral hemorrhage group was much higher than that of non-cerebral hemorrhage group(P=0.000).Furthermore,atrial fibrillation(P=0.000)and baseline NIHSS(P=0.000)between the two groups were significantly different.Conclusion THRIVE is associated with cerebral hemorrhage after intravenous thrombolysis guided by cerebral MRI.Atrial fibrillation and baseline NIHSS are independent factors of intracerebral hemorrhage after intravenous thrombolysis guided by cerebral MRI.