ABCD^2评分联合颈动脉超声对TIA后早期发生脑梗死的预测价值  

Value of ABCD^2 score combined with carotid ultrasound in the prediction of cerebral infarction shortly after TIA

作　　者：包琼 窦寿坦 李雪梅[2] 张志超[1] 陈娇 赵倩倩 

机构地区：[1]潍坊医学院神经病学教研室,山东潍坊261053 [2]潍坊医学院附属医院神经内科,山东潍坊261031

出　　处：《中国实用神经疾病杂志》2018年第3期294-296,共3页Chinese Journal of Practical Nervous Diseases

基　　金：山东省自然科学基金(联合专项);编号:ZR2015HL042

摘　　要：目的探讨ABCD2评分联合颈部血管超声对短暂性脑缺血发作后7d内发生脑梗死的预测价值。方法收集颈内动脉系统TIA患者80例,并根据ABCD2评分及颈部血管超声结果进行分组,比较各组患者TIA后7d内脑梗死发生率。结果80例TIA患者7d内进展为脑梗死共18例(22.5%),低、中、高危组患者7d内进展为脑梗死的比例分别为6.9%、27.3%、38.9%,各组比较差异有统计学意义(P<0.05)。颈动脉超声斑块组和无斑块组脑梗死发生率分别为47.1%、4.3%(P<0.05)。ABCD2评分≥4分的患者中,颈动脉超声斑块组脑梗死发生率为54.2%,高于无斑块组(11.1%)(P<0.05)。结论 ABCD2评分联合颈动脉超声对评估短暂性脑缺血发作患者早期发生脑梗死的风险具有重要意义。Objective To investigate the value of ABCD2 score combined with carotid ultrasound in predicting cerebral in- farction after transient ischemic attack （TIA） at 7d. Methods 80 patients with TIA were selected,and we divided the subjects into different groups according to ABCI-Y score and carotid ultrasound, the incidence of cerebral infarction within 7 days after TIA in each group was compared. Results In the 80 TIA patients, 18 patients progressed to cerebral infarction in 7 days,the 7 days inci- dence of cerebral infarction was 6.9% in patients with an ABCD^2 score of low risk, 27.3% with a score of moderate, and 38.9 with a score of high risk. The difference between each group was statistically significant （P〈0.05）. The incidence of cerebral in- farction in carotid plaque group and non-plaque group was 47.1%,4.3% （P〈0.05）. In ABCD2 score≥4 group, the incidence of cerebral infarction in carotid plaque group was 54.2 %, which was higher than that in non-plaque group （11.1%） （P〈0.05）. Conclusion Combined ABCD2 score with carotid ultrasound can develop the predicted risk of cerebral infarction after TIA early.

关 键 词：短暂性脑缺血发作(TIA) 脑梗死 ABCD2评分 颈动脉超声 风险 

分 类 号：R743.33[医药卫生—神经病学与精神病学]