应用ABCD^3评分法预测短暂性脑缺血发作后3个月内抑郁风险  

Application of ABCD^3 score in predicting depression risk three months after transient cerebral ischemic attack

作　　者：殷益宏[1] 汤芳[1] 任明山[1] 

机构地区：[1]安徽省立医院神经内科,合肥230001

出　　处：《中华老年心脑血管病杂志》2015年第10期1068-1070,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨ABCD3评分对短暂性脑缺血发作(TIA)后3个月内抑郁风险的预测价值。方法按照ABCD3评分测定157例TIA患者,并分为低危组51例(0~3分)、中危组91例(4~6分)和高危组15例(7~8分),比较3组90d抑郁发生率。结果低危组、中危组和高危组90d抑郁发生率比较,差异有统计学意义(3.9%vs 33.0%vs73.3%,P<0.05)。ABCD3评分预测TIA后抑郁的ROC曲线下面积为0.779,敏感性为87.7%,特异性为79.0%(95%CI:0.735~0.877)。结论 ABCD3评分是临床预测TIA后3个月内抑郁风险的一种较有效的方法。Objective To study the application of ABCD3 score in predicting depression risk 3months after transient cerebral ischemic attack.Methods One hundred and fifty-seven cerebral TIA patients were divided into low-risk group with 0-3 ABCD3 scores（n=51）,moderate-risk group with 4-6ABCD3 scores（n=91）,and high-risk group with 7-8ABCD3 scores（n=15）.The patients were followed up for 90 days,during which the incidence of depression was recorded.Results The incidence of depression was significantly lower in low-risk group than in moderate-and high-risk groups（3.9%vs 33.0%vs 73.3%,P〈0.05）.The area under the ROC curve for ABCD3 was 0.779（95%CI：0.735-0.877）.Conclusion ABCD3 score can effectively predict the depression risk 3months after transient cerebral ischemic attack.

关 键 词：脑缺血发作 短暂性 抑郁 卒中 ROC曲线 预测 

分 类 号：R743.31[医药卫生—神经病学与精神病学]