ABCD2评分法预测短暂性脑缺血发作后脑卒中发病风险的研究  

The Relationship between ABCD2 Score and the Assessment of Transient Ischemic Attack's Prognosis

作　　者：李晓红[1] 刘萍[1] 

机构地区：[1]大连市友谊医院神经内科,辽宁大连116001

出　　处：《医学与哲学（B）》2011年第9期22-24,共3页Medicine & Philosophy(B)

摘　　要：为探讨ABCD2评分法在短暂性脑缺血发作(TIA)后脑卒中发生风险的预测价值,选择发病48小时内的颈内动脉系统TIA患者112例进行ABCD2评定并分为0分、低危、中危、高危组并随访6个月。结果显示,高危组血管狭窄和软斑块程度较0分组、低危组、中危组显著严重;7天时高危组较中危、低危组卒中发生率显著增高;30天、60天、90天、180天时高危组较低危组、0分组卒中发生率显著增高。提示ABCD2评分法对TIA后180天内脑卒中发生风险有一定预测价值。To research the clinical value of the ABCD2 score in predicting the risk of stroke after TIA,we studied 112 pa- tients of the incidence of TIA within 48 hours ,and assessed their ABCD2 score and then divided them into 0, low--risk, medium--risk, high--risk groups,improved the vascular morphology and followed for 6 months,to object the incidence of stroke and cardiovascular events in each group . The high--risk group has more severe soft plaque and Vascular stenosis; 7 days follow--up, high--risk group has a significantly higher incidence of stroke compared with low--risk group and medi ual--risk group, the same to high--risk group compared with low--risk group and 0 group. 30 days follow--up, high risk group has a significantly higher incidence of stroke compared with low risk group and 0 group. 60 days follow up, high--risk group has a significantly higher incidence of stroke compared with low--risk group and 0 group; high--risk group has a significantly higher incidence of cardiovascular events compared with medium risk group. 90 days and 180days follow--up, medium--risk group has a significantly higher incidence of stroke compared with 0 group, high--risk group has a significantly higher incidence of stroke compared with 0 group.

关 键 词：ABCD2评分法 短暂性脑缺血发作 转归 

分 类 号：R743.31[医药卫生—神经病学与精神病学]