ABCD2评分对头晕患者脑血管疾病的诊断价值  

Diagnostic value of the ABCD2 score in identifying cerebrovascular diseasein patients with dizziness

作　　者：侯晓连[1] 薛艳[1] 路雅宁[1] 

机构地区：[1]包头市第四医院神经内科,内蒙古包头014030

出　　处：《包头医学院学报》2015年第4期39-41,共3页Journal of Baotou Medical College

摘　　要：目的:ABCD2评分是一种评估短暂性脑缺血发作(transient ischemic attack,TIA)患者发生急性脑卒中风险的预测性评分,本研究探讨ABCD2评分对头晕患者脑血管疾病的诊断价值。方法:选择头晕、眩晕以及平衡障碍患者为研究对象,根据病因把患者分为脑血管疾病组(包括TIA、急性脑梗死、脑出血)和非脑血管疾病组,对所有入选患者利用ABCD2评分进行评分,并比较两组的临床特点。结果:本研究共选择828名头晕患者,其中脑血管疾病组有46名患者。与非脑血管疾病患者比较,脑血管疾病患者中高血压病、冠心病、房颤及既往存在脑卒中的发病率明显增高,且入院时脑血管疾病患者的ABCD2评分显著高于对照组。结论:脑血管疾病患者ABCD2评分高于非脑血管疾病患者的原因是由于ABCD2评分中包含诊断性信息,可用于鉴别脑血管疾病及非脑血管疾病。Objective：The ABCD2 score has been used to predict subsequent risk of acute stroke in patients with transient ischemic attack （TIA）.This is because the ABCD2 score can distinguish TIA from other diseases.The thesis is to study whether this score can identify cerebrovas-cular disease in patients with dizziness.Methods： Patients with dizziness,vertigo or imbalance were divided into the cerebrovascular disease group （ including TIA, acute cerebral infarction and cerebral hemorrhage ） and the noncerebrovascular disease group based on the different causes of dis-ease.All the selected patients were graded by using the ABCD2 score , with their clinical characteristics compared between the two groups.Result：828 patients with dizziness were chosen in this study , 46 of whom belonged to the cerebrovascular disease group .Compared with the patients in the noncerebrovascular disease group, those with cerebrovascular disease more frequently had hypertension, coronary artery disease , atrial fibrillation and previous stroke.Besides, the scores of Patients with cerebrovascular disease on admission were higher than those with noncerebrovascular dis-ease.Conclusion：The reason why the ABCD2 scores of the patients with erebrovascular disease are higher than those with noncerebrovascular dis-ease is that ABCD2 score contains significant diagnostic information , which can be used to distinguish cerebrovascular disease from noncerebrovas-cular disease.

关 键 词：ABCD2评分 头晕 脑血管疾病 诊断 

分 类 号：R743[医药卫生—神经病学与精神病学]