• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
The Pitfalls of NIHSS: Time for a New Clinical Acute Stroke Severity Scoring System in the Emergency?美国国立卫生研究院卒中量表（NIHSS）的缺陷：是时候在急诊中采用新的临床急性卒中严重程度评分系统了吗？
Ann Indian Acad Neurol. 2024 Jan-Feb;27(1):15-18. doi: 10.4103/aian.aian_842_23. Epub 2024 Jan 18.
2
National Institutes of Health Stroke Scale: An Alternative Primary Outcome Measure for Trials of Acute Treatment for Ischemic Stroke.国立卫生研究院卒中量表：急性缺血性脑卒中治疗试验的替代主要结局指标。
Stroke. 2020 Jan;51(1):282-290. doi: 10.1161/STROKEAHA.119.026791. Epub 2019 Dec 4.
3
Functional outcome prediction of ischemic stroke patients with atrial fibrillation accepting post-acute care training.接受急性后期护理训练的房颤缺血性中风患者的功能预后预测
Front Neurol. 2022 Sep 23;13:954212. doi: 10.3389/fneur.2022.954212. eCollection 2022.
4
Recovery after ischemic stroke: criteria for good outcome by level of disability at day 7.缺血性中风后的恢复：根据第7天的残疾程度判断良好预后的标准。
Cerebrovasc Dis. 2009;28(4):341-8. doi: 10.1159/000229552. Epub 2009 Jul 24.
5
Is the National Institute of Health Stroke Scale a valid prognosticator of the aftermath in patients with ischemic stroke?国立卫生研究院卒中量表能否有效预测缺血性卒中患者的预后？
J Family Med Prim Care. 2022 Nov;11(11):7185-7190. doi: 10.4103/jfmpc.jfmpc_611_22. Epub 2022 Dec 16.
6
NIHSS scores in ischemic small vessel disease: a study in CADASIL.NIHSS 评分在缺血性小血管病中的应用：CADASIL 研究。
Cerebrovasc Dis. 2012;34(5-6):419-23. doi: 10.1159/000345067. Epub 2012 Dec 5.
7
Early clinical surrogates for outcome prediction after stroke thrombectomy in daily clinical practice.在日常临床实践中，卒中取栓术后结局预测的早期临床替代指标。
J Neurol Neurosurg Psychiatry. 2020 Oct;91(10):1055-1059. doi: 10.1136/jnnp-2020-323742.
8
Establishment of the Thai version of National Institute of Health Stroke Scale (NIHSS) and a validation study.泰国版国立卫生研究院卒中量表（NIHSS）的制定及验证研究。
J Med Assoc Thai. 2010 Jan;93 Suppl 1:S171-8.
9
Patients with moderate to severe strokes (NIHSS score >10) undergoing urgent carotid interventions within 48 hours have worse functional outcomes.发病 48 小时内行紧急颈动脉介入治疗的中重度脑卒中（NIHSS 评分＞10 分）患者功能预后更差。
J Vasc Surg. 2019 May;69(5):1471-1481. doi: 10.1016/j.jvs.2018.07.079. Epub 2019 Jan 8.
10
Stroke Outcome Prediction Using Admission Nihss In Anterior And Posterior Circulation Stroke.使用入院时美国国立卫生研究院卒中量表预测前循环和后循环卒中的结局
J Ayub Med Coll Abbottabad. 2021 Apr-Jun;33(2):274-278.

引用本文的文献

1
Predictors of poor outcomes in patients with intracerebral hemorrhage.脑出血患者预后不良的预测因素。
Front Neurol. 2025 Apr 22;16:1517760. doi: 10.3389/fneur.2025.1517760. eCollection 2025.
2
Bilirubin as a predictor of severity and adverse clinical outcomes of acute ischemic stroke: a systematic review and meta-analysis.胆红素作为急性缺血性卒中严重程度和不良临床结局的预测指标：一项系统评价和荟萃分析
BMC Neurol. 2025 Apr 12;25(1):159. doi: 10.1186/s12883-025-04168-7.
3
Acute Stroke Units Nested within Broader Neurology: Care Bundles for Nursing to Enhance Competence and Interdisciplinary Coordination.嵌套于更广泛神经科的急性卒中单元：护理的综合干预措施以提高能力和跨学科协作。
Curr Neurol Neurosci Rep. 2025 Mar 6;25(1):21. doi: 10.1007/s11910-025-01409-7.
4
AM-PAC 6-Clicks Basic Mobility and Daily Activities Scores Predict 90-Day Modified Rankin Score in Patients with Acute Ischemic Stroke Secondary to Large Vessel Occlusion.AM-PAC 6项基本移动能力和日常活动评分可预测大血管闭塞继发急性缺血性卒中患者的90天改良Rankin评分。
J Clin Med. 2024 Nov 25;13(23):7119. doi: 10.3390/jcm13237119.

本文引用的文献

1
Posterior National Institutes of Health Stroke Scale Improves Prognostic Accuracy in Posterior Circulation Stroke.美国国立卫生研究院卒中量表改良版提高了后循环卒中的预后预测准确性。
Stroke. 2022 Apr;53(4):1247-1255. doi: 10.1161/STROKEAHA.120.034019. Epub 2021 Dec 15.
2
Acute Stroke With Large Vessel Occlusion and Minor Clinical Deficits: Prognostic Factors and Therapeutic Implications.伴有大血管闭塞和轻微临床缺损的急性中风：预后因素及治疗意义
Front Neurol. 2021 Oct 22;12:736795. doi: 10.3389/fneur.2021.736795. eCollection 2021.
3
Revalidation of the RACE scale after its regional implementation in Catalonia: a triage tool for large vessel occlusion.在区域实施后重新验证 RACE 量表在加泰罗尼亚：大血管闭塞的分诊工具。
J Neurointerv Surg. 2019 Aug;11(8):751-756. doi: 10.1136/neurintsurg-2018-014519. Epub 2018 Dec 22.
4
National Institutes of Health Stroke Scale Zero Strokes.美国国立卫生研究院卒中量表零 strokes。
Stroke. 2018 Dec;49(12):3057-3059. doi: 10.1161/STROKEAHA.118.022517.
5
Stealing Cookies in the Twenty-First Century: Measures of Spoken Narrative in Healthy Versus Speakers With Aphasia.二十一世纪的“偷饼干”：健康人与失语症患者口语叙事的测量。
Am J Speech Lang Pathol. 2019 Mar 11;28(1S):321-329. doi: 10.1044/2018_AJSLP-17-0131.
6
Using the National Institutes of Health Stroke Scale: A Cautionary Tale.使用美国国立卫生研究院卒中量表：一个警示故事。
Stroke. 2017 Feb;48(2):513-519. doi: 10.1161/STROKEAHA.116.015434. Epub 2017 Jan 11.
7
e-NIHSS: an Expanded National Institutes of Health Stroke Scale Weighted for Anterior and Posterior Circulation Strokes.电子国立卫生研究院卒中量表：一种针对前循环和后循环卒中加权的扩展版国立卫生研究院卒中量表。
J Stroke Cerebrovasc Dis. 2016 Dec;25(12):2953-2957. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.011. Epub 2016 Sep 28.
8
The Oxfordshire Community Stroke Project classification system predicts clinical outcomes following intravenous thrombolysis: a prospective cohort study.牛津郡社区卒中项目分类系统可预测静脉溶栓后的临床结局：一项前瞻性队列研究。
Ther Clin Risk Manag. 2016 Jun 29;12:1049-56. doi: 10.2147/TCRM.S107053. eCollection 2016.
9
Clinical prediction of large vessel occlusion in anterior circulation stroke: mission impossible?前循环卒中中大血管闭塞的临床预测：不可能完成的任务？
J Neurol. 2016 Aug;263(8):1633-40. doi: 10.1007/s00415-016-8180-6. Epub 2016 Jun 6.
10
Trial of ORG 10172 in Acute Stroke Treatment (TOAST) classification and vascular territory of ischemic stroke lesions diagnosed by diffusion-weighted imaging.急性卒中治疗中ORG 10172的试验（TOAST）分类及通过弥散加权成像诊断的缺血性卒中病变的血管区域
J Am Heart Assoc. 2014 Aug 11;3(4):e001119. doi: 10.1161/JAHA.114.001119.

美国国立卫生研究院卒中量表（NIHSS）的缺陷：是时候在急诊中采用新的临床急性卒中严重程度评分系统了吗？

The Pitfalls of NIHSS: Time for a New Clinical Acute Stroke Severity Scoring System in the Emergency?

作者信息

Makharia Archita, Agarwal Ayush, Garg Divyani, Vishnu Venugopalan Y, Srivastava M V Padma

机构信息

Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Ann Indian Acad Neurol. 2024 Jan-Feb;27(1):15-18. doi: 10.4103/aian.aian_842_23. Epub 2024 Jan 18.

DOI:10.4103/aian.aian_842_23
PMID:38495237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10941908/
Abstract

Stroke is the second leading cause of death and a major cause of disability worldwide. Stroke severity scales serve as reliable means to track a patient's neurological deficit, predict outcome, and guide treatment decisions in clinical practice. The National Institute of Health Stroke Scale (NIHSS) was introduced over 30 years ago, marking a significant milestone in the field of stroke. Over the years, there have been notable advancements in acute stroke care. Despite several modifications made to NIHSS, none has yet succeeded in effectively capturing all the complex effects of a stroke. This review focuses on the pitfalls of NIHSS and emphasizes the need for a quick and comprehensive clinical and upgraded version of the stroke severity rating scale.

摘要

中风是全球第二大死因和致残的主要原因。中风严重程度量表是在临床实践中追踪患者神经功能缺损、预测预后以及指导治疗决策的可靠手段。美国国立卫生研究院卒中量表（NIHSS）于30多年前推出，标志着中风领域的一个重要里程碑。多年来，急性中风护理取得了显著进展。尽管对NIHSS进行了多次修改，但尚未有任何一次修改成功有效地捕捉到中风的所有复杂影响。本综述重点关注NIHSS的缺陷，并强调需要一个快速且全面的临床及升级版中风严重程度评定量表。