ABCD2评分预测短暂性脑缺血发作短期进展为脑梗死的价值  

Short-term's advancement prediction from transient ischemic attack to cerebral infarction by the ABCD2 criteria

作　　者：于文霞[1] 陈艳洁[1] 

机构地区：[1]唐山市人民医院神经内科,河北唐山063000

出　　处：《临床荟萃》2010年第13期1123-1125,共3页Clinical Focus

摘　　要：目的探讨采用ABCD2评分法预测短暂性脑缺血发作（TIA）短期内进展为脑梗死的价值。方法按照对TIA的ABCD2评分标准,测定86例TIA患者的评分并观察14天内脑梗死的发生率。结果 ABCD2评分≤3分的TIA患者40例,14天内脑梗死2例,发生率为5.0%;评分4-5分的TIA患者30例,14天内脑梗死8例,发生率为26.7%;评分6-7分的TIA患者16例,脑梗死13例,发生率为81.3%;ABCD2评分4-5分组和6-7分组脑梗死发生率明显高于0-3分组（P〈0.05）,而6-7分组又高于4-5分组（P〈0.05）。结论 ABCD2评分值越高的TIA患者,短期脑梗死发生率越高。ABCD2评分法是临床预测TIA短期进展为脑梗死一种简便有效的方法 。Objective To investigate the value of ABCD2 criteria for the estimation of acute transient ischemic attack（TIA） developing to cerebral infarction in short-term.Methods 86 TIA patients were evaluated according to the ABCD2 criteria.The occurrences of cerebral infarction were observed in 14 days.Results 40 TIA patients scored 3 or less,and the occurrence of cerebral infarction in 14 days was 5.0%;30 TIA patients scored 4 or 5,and the occurrence of cerebral infarction was 26.7%;16 TIA patients scored 6 or 7,and the occurrence of cerebral infarction was 81.3%.The occurrence of cerebral infarction of the two groups with scored 4-5 and 6-7 by ABCD2 were higher than the group with scored 0-3 significantly（P〈0.05）,and the occurrence of cerebral infarction of the group with scored 6-7 was higher than the group with scored 4-5（P〈0.05）.Conclusion The different incidence of cerebral infarction within 14 days after presence of TIA was related to the ABCD2 scores.The higher the score is,and the higher incidence is;the ABCD2 criteria are effective and simple for prediction of the short-term stroke risk after TIA.

关 键 词：脑缺血发作 短暂性 脑梗塞 预测 

分 类 号：R743.31[医药卫生—神经病学与精神病学]