影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (3): 631-635.DOI: 10.7517/issn.1674-0475.211209

• 综述与论文 • 上一篇    下一篇

Tan评分对老年AIS患者再发梗死的预测价值

赵红英1, 张惠芳1, 杨国涛2, 谷倩倩1, 王文浩1, 王海滨1   

  1. 1. 沧州市中心医院老年医学科, 河北 沧州 061000;
    2. 沧州市中心医院神经内三科, 河北 沧州 061000
  • 收稿日期:2021-12-20 出版日期:2022-05-15 发布日期:2022-05-27

Predictive Value of Tan Score for Recurrent Infarction in Elderly Patients with AIS

ZHAO Hongying1, ZHANG Huifang1, YANG Guotao2, GU Qianqian1, WANG Wenhao1, WANG Haibin1   

  1. 1. Department of Geriatrics, Cangzhou Central Hospital, Cangzhou 061000, Hebei, P. R. China;
    2. Department of Neurology, Cangzhou Central Hospital, Cangzhou 061000, Hebei, P. R. China
  • Received:2021-12-20 Online:2022-05-15 Published:2022-05-27

摘要: 本文探讨CT大脑中动脉区域侧支评分系统——Tan评分在老年急性缺血性脑卒中(AIS)患者再发梗死方面的预测价值。选取老年AIS患者140例,其中33例再发梗死(观察组),107例未再发梗死(对照组),观察两组临床资料、实验室指标、Tan评分等差异。结果显示,观察组年龄明显高于对照组(P<0.05);观察组纤维蛋白原(Fib)、Tan评分≤1分比例明显高于对照组,而大脑中动脉血流速度明显低于对照组(P<0.05);Tan评分与大脑中动脉血流速度呈正相关(r=0.485,P<0.05);Logistic回归结果显示:年龄、大脑中动脉血流速度及Tan评分是老年AIS患者再发梗死的影响因素(P<0.05);Tan评分预测再发梗死的ROC曲线下面积为0.685(P<0.05),灵敏性和特异性分别为76.00%和67.50%。因此,可以通过CT大脑中动脉区域侧支评分系统Tan评分来预测老年AIS患者再发梗死的发生。

关键词: CT大脑中动脉区域侧支评分系统, 急性缺血性脑卒中, 再发梗死, 老年人

Abstract: This paper discussed the predictive value of CT middle cerebral artery regional collateral scoring system - Tan score for recurrent infarction in elderly patients with acute ischemic stroke (AIS). 140 elderly AIS patients were selected, including 33 patients with recurrent infarction (observation group) and 107 patients without recurrent infarction (control group), the differences of clinical data, laboratory indexes and Tan score between the two groups were observed. The age of the observation group was significantly higher than that of the control group (P<0.05). Compared with the control group, the proportion of fibrinogen (FIB) and Tan score ≤1 in the observation group were higher (P<0.05), while the blood flow velocity of middle cerebral artery in the observation group were lower (P<0.05). Tan score was positively correlated with middle cerebral artery blood flow velocity (r=0.485, P<0.05). Logistic regression showed age, middle cerebral artery blood flow velocity and Tan score were the influencing factors of recurrent infarction in elderly AIS patients (P<0.05). The area under ROC curve of recurrent infarction predicted by Tan score was 0.685, P<0.05, and the sensitivity and specificity were 76.00% and 67.50% respectively. CT middle cerebral artery regional collateral scoring system Tan score has certain application value in predicting recurrent infarction

Key words: CT middle cerebral artery regional collateral scoring system, acute ischemic stroke, recurrent infarction, aged