美国国立卫生研究院卒中量表脑型图在脑卒中诊疗中的应用

doi:10.11817/j.issn.1673-9248.2022.02.008

目的

探讨美国国立卫生研究院卒中量表（NIHSS）脑型图在脑卒中诊疗中的应用。

方法

选取合肥市第二人民医院医护人员共60人（医师30人、护士30人），分成试验组（医师15人、护士15人）和对照组（医师15人、护士15人），对照组根据常规临床资料评估卒中患者病情，试验组根据常规临床资料及NIHSS脑型图评估卒中患者病情，2组医师和护士对患者病情的掌握情况采用调查问卷的形式进行评价，采用独立样本t检验比较2组评分的差异。

结果

试验组医师对患者病情的掌握情况评分高于对照组医师[（82.60±10.67）分vs（72.27±8.65）分]，差异具有统计学意义（t=2.911，P=0.007）；试验组护士对患者病情的掌握情况评分高于对照组护士[（73.33±6.91）分vs（51.07±6.88）分]，差异具有统计学意义（t=8.840，P＜0.001）。

结论

NIHSS脑型图可协助医护人员对卒中患者进行诊疗。

关键词: 卒中, 神经, 评估, 美国国立卫生研究院卒中量表

Objective

To investigate the application of brain pattern of the National Institutes of Health stroke scale (NIHSS) in the diagnosis and treatment of stroke.

Methods

Sixty medical staff (30 doctors and 30 nurses) were included form the Second People's Hospital of Hefei. They were divided into experiment group (15 doctors and 15 nurses) and control groups (15 doctors and 15 nurses). The control group evaluated the condition of stroke patients according to the routine clinical data, while the experimental group evaluated it according to the conventional clinical data and NIHSS score brain chart. The efficiency of NIHSS brain pattern in the diagnosis and treatment of stroke patients was evaluated by questionnaire, and the differences of scores between two groups were compared by an independent sample t-test.

Results

The doctors in the experiment group had a higher score of mastery of the patients' condition than those in the control group [(82.60±10.67) vs (72.27±8.65)], showing a statistically significant difference (t=2.911, P=0.007). The nurses in experiment group had a higher score of mastery of the patients' condition than those in the control group [(73.33±6.91) vs (51.07±6.88)], also showing a statistically significant difference (t=8.840, P＜0.001).

Conclusion

The NIHSS brain pattern can assist medical staff in the diagnosis and treatment of stroke patients.

Key words: Stroke, Nerve, Assessment, National Institutes of Health stroke scale

图1 美国国立卫生研究院卒中量表（NIHSS）脑型图结构示意图

图2 美国国立卫生研究院卒中量表（NIHSS）脑型图示例。图a患者为右侧大脑半球脑梗死患者，NIHSS评分为13分：凝视1分+面瘫2分+左上肢3分+左下肢4分+感觉1分+忽视2分；图b患者为左侧大脑半球梗死患者，NIHSS评分为14分：意识提问2分+凝视1分+面瘫2分+右上肢3分+右下肢2分+感觉1分+语言3分；图c为桥脑梗死患者，NIHSS评分为13分：意识水平1分+意识指令1分+凝视2分+面瘫2分+左上肢3分+左下肢2分+感觉1分+共济1分

表1 2组研究对象对患者病情掌握情况的调查问卷评分比较（分，

x ˉ

±s）

组别	人数	医师	护士
对照组	15	72.27±8.65	51.07±6.88
试验组	15	82.60±10.67	73.33±6.91
t值		2.911	8.840
P值		0.007	＜0.001

表1 2组研究对象对患者病情掌握情况的调查问卷评分比较（分，

x ˉ

±s）

组别	人数	医师	护士
对照组	15	72.27±8.65	51.07±6.88
试验组	15	82.60±10.67	73.33±6.91
t值		2.911	8.840
P值		0.007	＜0.001

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Application of brain pattern of National Institutes of Health stroke scale in stroke diagnosis and treatment

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Application of brain pattern of National Institutes of Health stroke scale in stroke diagnosis and treatment