联合应用ABCD2评分与头颅MR对TIA及小卒中早期预后的研究  

Study on the effect of ABCD2 combined with MRI(ABCD2-DI scale) for the prediction of the incidence or recurrence rate of TIA or minor stroke

作　　者：刘勇林[1] 钟秀玲[1] 苗海锋[1] 

机构地区：[1]广东东莞市人民医院神经内科,东莞523000

出　　处：《中国实用神经疾病杂志》2012年第24期1-4,共4页Chinese Journal of Practical Nervous Diseases

基　　金：东莞市科技局资金资助;项目受理编号:201010515000071

摘　　要：目的分析ABCD 2评分结合磁共振MRA及DWI评分(ABCD2-DI评分)评价TIA及小卒中患者发病后7～90d脑梗死的发生率/复发率。方法以2010-01—2012-06住院TIA及小卒中患者为研究对象,入院后72h内完善头颅MR(包括MRA及DWI),进行ABCD2-DI评分,随访发病后7d、30d及90d脑梗死发生率/复发率。结果 TIA患者7d、30d及90d内脑梗死发生率分别为19.9%、23.5%及29.4%;小卒中患者7d、30d及90d内脑梗死发生率分别为26.2%、28.6%及33.9%;TIA/小卒中发生后7d内新发脑梗死/短期复发概率较高,患者随着时间延长其复发率较TIA发展为脑梗死概率更高。结论 ABCD 2-DI评分可提高对TIA及小卒中患者发病后90d内脑梗死发生率及复发率的预测,尤其是TIA发生后7d内更为明显。Objective To evaluate the effect of ABCD2 combined with MRI（ABCD2-DI scale） for the prediction of the incidence or recurrence rate of TIAs or minor stroke within 7~90 days.Methods The patients suffered from TIA or minor stroke between January 2010 and June 2012 in our hospital were involved.MRIs were performed within 72 hours（including DWI and MRA）,and ABCD2-DI would be scaled.The recurrence of stroke within 7 days,30 days and 90 days would be recorded.Results Among the patients with TIA,the incidence of stroke within 7 days,30 days and 90 days was 19.9%,23.5% and 29.4%,respectively.Among the patients with minor strokes,the recurrence rate of stroke within 7 days,30 days and 90 days was 26.2%,28.6% and 33.9%,respectively.The incidence/recurrence rate of stroke within 7 days were higher than the others.The longer it passed,the higher rate in stroke patients.Conclusion The ranking scales of ABCD2-DI could improve the predictions of incidence and recurrence rates of TIA or minor stroke within 7~90 days,especially within 7 days.

关 键 词：ABCD2评分 短暂性脑缺血发作 脑梗死 

分 类 号：R743.3[医药卫生—神经病学与精神病学]