ABCD评分系统预测TIA短期内进展至脑梗死的价值探讨  

The short term's advancement prediction from transient ischemic attack to cerebral infarction by Rothwell's ABCD criteria

作　　者：袁伟红[1] 

机构地区：[1]北京市垂杨柳医院神经内科,北京100022

出　　处：《中国实用神经疾病杂志》2009年第19期19-21,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨采用ABCD评分预测短暂性脑缺血发作短期内进展为脑梗死的价值。方法按照Rothwell对TIA的ABCD评分标准，测定77例TIA患者的评分和观察7d内脑梗死的发生率。结果评分0分的TIA患者有3例，脑梗死的发生率为0；1～2分的TIA患者23例，脑梗死发生率17．4％；评分3～4分的TIA患者36例，脑梗死的发生率27．8％；评分5分的TIA患者8例，脑梗死发生率为37．5％；评分6分的TIA患者7例，脑梗死发生率85．7％。年龄〉60岁，血压140／90mmHg，偏瘫伴口齿含糊，症状持续时间〉60min的患者中脑梗死发生率明显增高。结论T1A患者的ABCD评分值与7d内脑梗死的发生率相关，分值越高，发生率越高；反之，分值越低，发生率越低；Rothwell的ABCD评分标准是临床上预测TIA短期内进展为脑梗死的一种快速、简便和比较有效的方法。Objective To explore the risk factors influenting acute transient ischemie attack（TIA） to evolve into cerebral infarction. Methods Seventy-seven TIA patients were evaluated according to Rothwell＇s ABCD criteria. The occurrences of cerebral infarction were observed in 7 days. Results There TIA patients scored 0,and the occurrence of cerebral infarction was 0, 23 patients scored 1~2, and the occurrence was 17.4%, 36 patients scored 3 ~4, and the occurrence was 27.8%, 8 patients scored 5, and the occurrence was 37.5 %,7 patients scored 6, and the occurrence was 85.7%. The occurrence was significantly higher in patients older than 60, with blood pressure over 140/90 mmHg, hemiparesis and anarthria, and symptoms lasting over 60 minutes. Conclusion The different incidence of cerebral infarction within 7 days of TIA is related to Rothwell＇s scores. The higher the score is, and the higher the incidence is; the lower the score is, and the lower the incidence is. Rothwell ＇s ABCD criteria is effective to predict the occurrence of cerebral infarction in short-term of TIA,it is easy and fast.

关 键 词：短暂性脑缺血发作 脑梗死 预测 

分 类 号：R743.31[医药卫生—神经病学与精神病学]