摘要
目的探讨Essen卒中复发风险评分量表(ESRS)联合颅磁共振血管成像(MRA)评分对老年脑梗死患者复发的预测价值。方法收集2018年1月至2019年8月石家庄市人民医院收治的153例老年脑梗死患者临床资料。进行ESRS和MRA评分,随访1年,分析ESRS联合MRA的综合评分预测老年患者脑梗死复发的价值。结果153例老年脑梗死患者的复发率为11.11%(17/153);复发和未复发患者颅内血管狭窄程度比较,差异有统计学意义(P<0.01)。ESRS评分高危脑梗死患者复发率为15.22%,高于ESRS评分低危脑梗死患者的4.92%;MRA评分高风险脑梗死患者复发率为14.71%,高于MRA评分低风险脑梗死患者的3.92%;综合评分为高风险脑梗死患者复发率为16.47%,高于综合评分为低风险脑梗死患者的4.41%,差异有统计学意义(P<0.05)。三种评分法预测老年脑梗死患者复发根据受试者工作特征(ROC)曲线确定,当ESRS评分的曲线下面积(AUC)为0.618(95%CI:0.492~0.744),灵敏度为0.824,特异度为0.426;当MRA评分的AUC为0.612(95%CI:0.500~0.744),灵敏度为0.882,特异度为0.360;当综合评分的AUC为0.642(95%CI:0.496~0.787),灵敏度为0.824,特异度为0.478。结论ESRS联合MRA评分在老年脑梗死复发预测中有良好的效果,具有良好临床价值,可推广使用。
Objective To explore the predictive value of Essen stroke risk score(ESRS)combined with cranial magnetic resonance angiography(MRA)score for recurrence in elderly patients with cerebral infarction.Method The clinical data of 153 elderly patients with cerebral infarction admitted to Shijiazhuang People's Hospital from January 2018 to August 2019 were collected.ESRS and MRA scores were performed,and the duration of follow-up was 1 year.The value of ESRS combined with MRA comprehensive score to predict the recurrence of cerebral infarction in elderly patients was analyzed.Result Among all 153 elderly patients with cerebral infarction,the recurrence rate of cerebral infarction was 11.11%(17/153).There was a statistically significant difference in the degree of intracranial vascular stenosis between recurrence and non-recurrence patients(P<0.01).The recurrence rate of patients with high-risk cerebral infarction based on ESRS score was 15.22%,which was higher than 4.92% of patients with low-risk cerebral infarction.The recurrence rate of patients with high-risk cerebral infarction by MRA score was 14.71%,which was higher than 3.92% of patients with low-risk cerebral infarction.The recurrence rate was 16.47% of patients with high-risk cerebral infarction based on the total scores,which was higher than 4.41% of patients with low-risk cerebral infarction,and the difference was statistically significant(P<0.05).The prediction of the recurrence of elderly patients with cerebral infarction based on the three scoring systems was determined according to the receiver operating characteristic(ROC)curve.When the area under the curve(AUC)of the ESRS score was 0.618(95%CI:0.492-0.744),the sensitivity was 0.824,and the specificity was 0.426;when the AUC of the MRA score was 0.612(95%CI:0.500-0.744),the sensitivity was 0.882,and the specificity was 0.360;when the AUC of the comprehensive score was 0.642(95%CI:0.496-0.787),the sensitivity was 0.824,and the specificity was 0.478.Conclusion ESRS score combined with MRA has a good effect
作者
李倩倩
张慧儒
吴咏静
于华
Li Qianqian;Zhang Huiru;Wu Yongjing;Yu Hua(Department of Geriatrics,Shijiazhuang People's Hospital,Shijiazhuang 050000,Hebei,China)
出处
《血管与腔内血管外科杂志》
2021年第10期1227-1230,1239,共5页
Journal of Vascular and Endovascular Surgery
基金
河北省卫生健康委科研基金项目(20191461)。
