| 张红霞,樊峰萍,张学艳,等.眼震-头脉冲-步态检查法联合改良弗明汉卒中量表评分对孤立性眩晕病人脑卒中的预测价值[J].安徽医药,2021,25(5):890-893. |
| 眼震-头脉冲-步态检查法联合改良弗明汉卒中量表评分对孤立性眩晕病人脑卒中的预测价值 |
| Research on predictive value of spontaneous nystagmus-direction-head impulse test com? bined with fsp score for stroke in patients with isolated vertigo |
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| DOI：10.3969/j.issn.1009-6469.2021.05.011 |
| 中文关键词: 眩晕 脑梗死 孤立性眩晕 眼震-头脉冲-步态检查法 改良弗明汉卒中量表评分 |
| 英文关键词: Vertigo Brain infarction Isolated vertigo Spontaneous nystagmus-direction-head impulse test Modified flemingham stroke scale score |
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| 中文摘要: |
| 目的探讨眼震 -头脉冲 -步态检查法( STANDING)联合改良弗明汉卒中量表( FSP)评分对孤立性眩晕病人脑卒中的预测价值。方法收集 2017年 2月至 2018年 9月保定市第一中心医院 86例孤立性眩晕病人的临床资料，完成 STANDING床旁检查和 FSP评分，根据最终检查结果将病人分为脑卒中组( 20例)和非脑卒中组( 66)例，评估 STANDING检查法联合 FSP评分预测脑卒中的价值。结果 STANDING检查提示中枢性眩晕 36例，非中枢性眩晕 50例，其诊断中枢性眩晕的灵敏度为 100.00％，特异度为 80.64％；脑卒中组 FSP评分高于非脑卒中组( P<0.05)FSP评分诊断脑卒中的 ROC曲线下面积( AUC)为 0.813(95％CI:0.702～0.891)，临界值为 17.35，灵敏度为 79.80％，特异度7.88％；通过 FSP评分临界值预测脑卒中病人 23例，非脑卒中病人 63例。 STANDING检查法联合 FSP评分诊断脑卒中的灵敏度为 100.00％，特异度为 95.45％。结论 STANDING检查法和 FSP评分联合应用对孤立性眩晕病人脑卒中发生风险具有较高预测价值，对临床预防、治疗及预后脑卒为7，中病人改善均有重要意义。 |
| 英文摘要: |
| Objective To study the predictive value of spontaneous nystagmus-direction-head impulse test (STANDING) combinedwith modified Flemingham Stroke Scale (FSP) score for stroke in patients with isolated vertigo.Methods The clinical data of 86 patients with isolated vertigo were collected in Baoding First Central Hospital from February 2017 to September 2018, STANDING bedside examination and FSP score were implemented, according to the final examination results, the patients were divided into strokegroup (20 cases) and non-stroke group (66 cases), the value of STANDING combined with FSP score in predicting stroke was evaluated. Results STANDING showed there were 36 cases of central vertigo and 50 cases of non-central vertigo, its sensitivity in diagnosingcentral vertigo was 100.00%, the specificity was 80.64%. The FSP score of stroke group was higher than that of non-stroke group (P < 0.05), the area under the ROC curve (AUC) of FSP score in diagnosis of stroke was 0.813 (95% CI: 0.702-0.891), the critical value was17.35, the sensitivity was 79.80%, and the specificity was 77.88%; the critical value prediction by FSP score showed that 23 cases werestroke patients and 63 cases were non-stroke patients. The sensitivity and specificity of STANDING combined with FSP score in the diagnosis of stroke were 100.00% and 95.45%.Conclusion The combination of STANDING test and FSP score has a high predictivevalue for stroke risk in patients with isolated vertigo, and has important significances for clinical prevention, treatment and prognosisimprovement of stroke patients. |
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