| 杨武 李晓萍 邓朝霞 王娟 刘明华.急诊脑卒中识别评分量表在院前急救中筛选价值的探讨[J].,2015,15(19):3657-3659 |
| 急诊脑卒中识别评分量表在院前急救中筛选价值的探讨 |
| Value of the Recognition of Stroke in the Emergency RoomScale in Pre-hospital Emergency |
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| DOI： |
| 中文关键词: 脑卒中 院前急救 急诊脑卒中识别评分量表 |
| 英文关键词: Stroke Pre-hospital emergency Recognition of stroke in the emergency roomscale |
| 基金项目:国家自然科学基金项目（30972894） |
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| 中文摘要: |
| 目的：探讨急诊脑卒中识别评分量表（ROSIER）在院前急救筛选中的应用价值。方法：收集2013 年1 月至2014 年1月期
间，我院急诊科收治的可疑脑卒中病例114 例，在院前急救中应用ROSIER 量表筛查，并以辛辛那提院前脑卒中识别评分量表
(CPSS)作为对照，以头颅CT 或MRI检查、神经专科医师意见作为最终诊断，比较ROSIER与CPSS的对于脑卒中的筛选价值。结
果：ROSIER对脑卒中的特异度、阳性似然比依次为83.67%、4.80，均显著高于CPSS 的67.35%、2.36（P<0.05）；假阳性为16.33%，
显著低于CPSS 的32.65%；ROSIER 的Kappa 值为0.621，显著高于CPSS 的0.462，差异具有统计学意义（P<0.05）；两组的敏感
度、假阴性率及阴性拟然比无明显差异（P>0.05）。结论：ROSIER 应用于脑卒中筛查具有较高的敏感度和特异度，对于脑卒中的院
前筛查以及院前急救具有重要指导意义。 |
| 英文摘要: |
| Objective:To investigate the value of the recognition of stroke in the emergency room scal (ROSIER) in pre-hospital
emergency.Methods:114 cases of suspicious stroke patients admitted to the emergency department of our hospital between January 2013
and January 2014 were collected, all received ROSIER scale screening in pre-hospital emergency, and compared with the Cincinnati
Pre-hospital Stroke Scale (CPSS). The value of ROSIER and CPSS in pre-hospital emergency was compared.Results:The specificity and
positive likelihood ratio of ROSIER were 83.67%, 4.80, all significantly higher than the 67.35%, 2.36 of CPSS (P<0.05); the false
positive, of ROSIER was 16.33%, significantly lower than the 32.65% of CPSS (P<0.05); the Kappa value of ROSIER was 0.621,
significantly higher than 0.462 of CPSS, there was a significant difference (P<0.05); the sensitivity, the false negative rate and negative
likelihood ratio of the two groups, was no significant difference (P>0.05).Conclusion:ROSIER applied in stroke screening has high
sensitivity and specificity, has important value for pre-hospital screening and pre-hospital emergency of stroke. |
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