SCS评分在急诊高血压脑出血患者预后预测中的应用价值

摘要

目的 研究简单临床评分(SCS)在急诊高血压脑出血患者预后预测中的应用价值.方法 选取2015年1-12月收治的350例高血压脑出血患者,入急诊科后分别采用MEWS和SCS评分,对比存活组和死亡组评分.比较SCS评分≤5、6～11、≥12分各组的病死率.研究SCS与MEWS评分的差异及相关性.比较SCS评分与MEWS评分的准确性.结果 随SCS分值增加,患者病死率和MEWS分值均增加(P＜0.05),各组间两两比较,差异有统计学意义(P＜0.05).死亡组SCS评分和MEWS评分均高于存活组(P＜0.05).SCS与MEWS评分呈正相关(r=0.647,P＜0.01).AUCSCS=0.908,AUCMEWS =0.896,差异有统计学意义(P＜0.05).结论 采用SCS评分评估急诊高血压脑出血患者的病情及预后较可靠,准确性更高,值得临床推广.%Objective To analyze the application value of SCS score in prognostic prediction of patients with hypertensive intracerebral hemorrhage in emergency department.Methods A total of 350 patients with hypertensive intracerebral hemorrhage admitted to the Third People's Hospital of Mianyang from January to December of 2015 were selected.MEWS and SCS scores were used respectively after admission to emergency department.The scores were compared between survival group and death group.The mortality rates of each group with SCS score less than 5,6-11,and 12 points were compared.The difference and correlation between SCS score and MEWS score were compared.The accuracies of SCS score and MEWS score were compared.Results With the increase of SCS score,the mortality rate and MEWS score increased (P＜ 0.05).There were significant differences between any two groups(P ＜ 0.05).The SCS score and MEWS score in the death group were higher than those in the survival group (P ＜ 0.05).SCS was positively correlated with MEWS score (r =0.647,P ＜ 0.01).AUCSCS =0.908,AUCMEWS =0.896,the difference was statistically significant (P ＜ 0.05).Conclusion SCS score is more reliable and accurate for evaluating the condition and prognosis of patients with acute hypertensive intracerebral hemorrhage,which is worthy of clinical promotion.