脑出血评分量表临床应用评价

Clinical value of intracerebral hemorrhage score

摘要: 目的:评价脑出血(intracerebral hemorrhage,ICH)评分量表的临床实用性。方法:对53例自发性ICH患者入院时采用ICH评分量表及临床神经功能缺损评分(c lin ical neurologic defic it scale,CNDS)量表进行评分。分析ICH评分与患者30天病死率、神经功能缺损程度的相关性。结果:ICH评分 ≥ 3分组患者30天病死率明显高于ICH评分<3分组(P<0.01);ICH评分 ≥ 3分组患者CNDS明显高于ICH评分<3分组(P<0.01);患者入院时ICH评分与CNDS呈正相关关系(P<0.01)。结论:ICH评分简单、易行,能够较为准确地预测自发性ICH患者的临床预后。

Abstract: Objective:To assess the value of intracerebral hemorrhage (ICH) score in clinical practice.Methods:Fifty-three cases of spontaneous ICH patients were evaluated by ICH score and clinical neurologic deficit scale (CNDS) at admission.The association of ICH score with 30-day mortality and neurologic deficit scale was analyzed.Results:The 30-day mortality in patients with ICH score ≥ 3 were higher than those with ICH score<3 (P<0.01).The ICH score was positively correlated with CNDS (P<0.01).Conclusions:ICH score is a simple and reliable method which can accurately predict the clinical prognosis of patients with spontaneous intracerebral hemorrhage.