新型脑出血临床评估量表

摘要

自2001年首个脑出血(intracerebral hemorrhage,ICH)预后评估量表问世以来,其临床有效性得到了充分的外部验证.但毕竟原始脑出血(original ICH,oICH)评分量表是设计来评价30 d死亡事件的,并没有包括诸多与预后密切相关的因子,因此对功能预后的预测准确率欠佳.为了预测ICH患者的功能预后,一系列新型评测体系被建立起来.本文主要针对现有的新型ICH评估量表从研究背景、方法学、评估指标、外部验证等几个方面进行综述,以期阐明其适用范围和临床效度,为临床医师按需选择提供参考.%Since the first grading scale was introduced by Hemphill in 2001, its efficiency has been confirmed by external validations. Because the original intracerebral hemorrhage(olCH) score was originally intended to predict 30-day mortality and does not include factors that have been strongly associated with outcome following intracerebral hemorrhage(ICH), its accuracy of predicting functional outcome is poor. A number of new ICH clinical grading scales have been developed to predict various outcome measures following ICH. We extensively reviewed the academic and social backgrounds, study methodologies, scale definitions and external validations of existing new generation grading scales in this article. Our purpose is to elucidate range of application and validating intensity of different grading scales of ICH.