摘要
目的分析ROSIER、FAST、LAPSS三种卒中筛查量表对急诊疑似卒中患者的应用价值。方法2012—05—2012—11共收集223例广州医学院第二附属医院急诊就诊的疑似卒中患者，记录其临床特征，在急诊使用三种卒中筛查量表（ROSIER量表、FAST量表、LAPSS量表）进行评估，根据影像学结果及住院记录明确最终诊断，比较三种卒中量表在急诊室内的应用价值。结果223例患者中包括脑卒中194例（脑梗死132例、脑出血60例及短暂性脑缺血发作2例），非卒中29例。ROSIER量表灵敏度为76．3％，特异度为65．5％；FAST量表灵敏度为72．7％，特异度为65．5％；LAPSS量表灵敏度为62．4％，特异度为75．9％。ROSIER量表及FAST量表的灵敏度与LAPSS量表比较差异均有统计学意义（P〈0．05）。结论ROSIER、FAST、LAPSS三种量表在急诊室内的应用价值均欠佳，需进一步研究出适用于国内急诊室的卒中筛查量表。
Objective To analysis the validation value of three different stroke screen scales （ROSIER, FAST, LAPSS） in an Emergency setting. Methods A total of 223 suspected stroke patients presented to Emergency department were prospectively enrolled from May, 2012 to November, 2012. Clinical features were collected and three different stroke screen scales （ROSIER, FAST, LAPSS） were assessed on admission. The validation of those scales were compared. Results Among total 223cases, 194 cases were stroke and 29 cases were stroke mimic. The sensitivity of ROSIER scale is 76.3% and the specificity is 65.5%. The sensitivity of FAST scale is 72.7% and the specificity is 65.5%. The sensitivity of LAPSS scale is 62.4% and the specificity is 75.9%. The sensitivity of ROSIER scale and FAST scale are higher than LAPSS scale（P 〈 0.05）. Conclusion The validation of those scales in Emergence Department are not good enough and need to further improve.
出处
《中国急救医学》
CAS
CSCD
北大核心
2013年第6期539-542,共4页
Chinese Journal of Critical Care Medicine
基金
广东省科技计划项目
