ABCD2评分预测TIA患者脑梗死风险的研究  

Association between ABCD2 score and risk of ischemic stroke in TIA patient

作　　者：罗榕[1] 吴波[2] 

机构地区：[1]峨眉山市人民医院内一科,四川峨眉614200 [2]四川大学华西医院神经内科,四川成都610041

出　　处：《西部医学》2013年第6期862-864,共3页Medical Journal of West China

摘　　要：目的评估ABCD2评分法预测短暂性脑缺血发作(TIA)后7天内发生卒中风险的作用。方法采用连续性、前瞻性登记的研究方法,以87例TIA患者为研究对象,应用7分制ABCD2评分法对入选患者评分,根据患者7天内脑梗死的发生率,分析ABCD2评分法预测TIA发作后7天内发生卒中的风险。结果 TIA发作后7天内发生脑梗死的患者中,88.98%的患者评分≥5分。评分7分的患者有66.7%于7天内发生卒中,6分的患者有23.5%于7d内发生卒中,5分的患者有8.33%于7天内发生卒中,<5分的患者只有3.85%于7天内发生卒中。结论 ABCD2评分法是一种简便易行的对TIA患者进行分层评价的方法,利用ABCD2评分法有助于临床工作中快速筛选出短期内脑梗死高危患者,对该类高危患者尽早干预,可降低TIA后脑梗死的发生。Objective To assess the function of ABCD2 score in predicting the risk of ischemic stroke in TIA pa- tient. Methods Using the ABCD2 score of 7 points to analyze the clinical characteristics of 87 TIA patients. Results In patients who had ischemie stroke within 7d after TIA onset, 88. 9% patients grade ≥5 point who had ischemic stroke af- ter TIA in 7d; in possessing 7 point patient, 66.7% had ischemic stroke in 7d; 6 point patient, 23. 5% had the ischemie stroke in 7d; 5 point patient, 8. 33% had isehemie stroke in 7d; for patients whose scores were lower than 5 point, only 3.85% had ischemic stroke in 7d. Conclusion The ABCD2 score is a useful method for predicting the risk of ischemic stroke for TIA patient.

关 键 词：ABCD2评分 短暂性脑缺血发作 TIA 卒中 风险评估 

分 类 号：R743.31[医药卫生—神经病学与精神病学]