改良ABCD^2评分对头晕患者脑梗死的诊断价值  

The diagnostic value of modified ABCD2 for cerebral infarction in hospitalized patients with dizziness

作　　者：王为强 宇辉 朱瑞昉 尤家聪 徐春奇 

机构地区：[1]安徽医科大学附属宿州医院宿州市立医院神经内科/全科医学科,安徽宿州234000

出　　处：《中国实用神经疾病杂志》2017年第24期36-39,共4页Chinese Journal of Practical Nervous Diseases

基　　金：国家自然科学基金资助项目;编号:81070877

摘　　要：目的探讨改良ABCD2评分对住院头晕患者脑梗死的诊断价值。方法按照改良ABCD2评分对病程<48h的1297例头晕患者进行脑梗死风险分层,其评分对住院头晕患者中脑梗死的诊断价值通过ROC曲线判断。结果改良ABCD2评分ROC曲线下面积(95%CI)为0.786(0.697~0.874)。低危(0~3分)、中危(4~6分)和高危(7~9分)组诊断为脑梗死的风险为1.3%、6.9%和20.5%。结论改良ABCD2评分有助于快速识别头晕中的脑梗死患者。Objective To evaluate whether modified ABCD2 score can discriminate dizziness patients with and without cere-bral infarction .Methods This study was conducted in 1297 hospitalized patients according to modified ABCD 2 criteria .The areas under the receiver operator curves and 95% confidence intervals were then generated to estimate the diagnostic value .Results The AUCs（95% CI） of modified ABCD2 is 0.786 （0.697-0.874） .The 7-day risk of stroke was 20.5% with a score of high risk （7-9） ,6.9% with a score of moderate risk （4-6） ,and 1.3% in patients with a modified ABCD2 score of low risk （0-3） .Conclusion Modified ABCD2 score can be used to quickly identify dizziness patients with cerebral infarction .

关 键 词：ABCD2评分 危险因素 头晕 脑梗死 诊断 

分 类 号：R743.33[医药卫生—神经病学与精神病学]