用ABCD^2评分法预测短暂性脑缺血发作短期进展为脑梗死的风险  

Stroke risk prediction after transient ischemic attack with ABCD^2 score

作　　者：王为强[1] 任明山[1] 杨毅[1] 

机构地区：[1]安徽医科大学附属省立医院安徽省立医院神经内科,合肥230001

出　　处：《中国临床保健杂志》2009年第3期248-250,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨ABCD2评分对短暂性脑缺血发作后7天内发生脑梗死的预测价值。方法按照ABCD评分标准和ABCD2评分标准,测定179例TIA患者的评分并观察7天内脑梗死的发生率。结果AB-CD2评分法和ABCD评分法的曲线下面积分别为0.761、0.699。179例TIA患者中≤2分者29例,脑梗死的发生率为零;评分为3分者22例,脑梗死的发生率为9%;评分为4分者58例,脑梗死的发生率为24%;评分为5分者53例,脑梗死的发生率为42%;评分≥6分者17例,脑梗死的发生率为65%。低危(0~3分)、中危(4~5分)和高危(6~7分)组7天内发生脑梗死的比例分别为4%、32%和65%(P<0.05)。结论ABCD2评分法的预测价值高于ABCD评分法,是临床上预测TIA短期进展为脑梗死的一种有效方法。Objective To explore the value of ABCD2 score in predieting cerebral infarction of transient ischemic attack patients within 7 days. Methods 179 TIA patients were evaluated according to ABCD or ABCD2 criteria. The oeeurrenee of cerebral infarction was observed in 7 days. Results The AUCs of ABCD2 and ABCD were 0.761 and 0.699 ,respectively. 29 TIA patients scored 2 or less with no cerebral infarction,22 scored 3 with 9% oceurrenee rate,58 seored 4 with 24% occurrence rate,53 scored 5 with 42% occurrence rate,and 17 scored 6 or more with 65% oeeurrenee rate. The 7-day risks of stroke in the patients were 4% with a low ABCD^2 score （0-3） ,32% with the moderate score （4-5）,and 65% with the high score （6-7） （P 〈0.05）. Conclusions The predictive accuraey of ABCD2 is significantly higher than that of ABCD, ABCD2 criteria is effeetive to prediet the occurrence of cerebral infarction in short-term of TIA.

关 键 词：脑缺血发作 短暂性 脑梗死 方法/预测 

分 类 号：R743.3[医药卫生—神经病学与精神病学]