卒中预警综合征与普通短暂性脑缺血发作的临床对比观察  

Clinical comparative observation of stroke warning syndrome and common transient ischemic attack

作　　者：张伶君[1] 王秀[1] 宋士萍[1] 周红雨[2] Zhang Lingjun;Wang Xiu;Song Shiping;Zhou Hongyu(Department of Neurology,Beijing Chuiyangliu Hospital,Beijing 100022,China;不详)

机构地区：[1]北京市垂杨柳医院神经内科,100022 [2]四川大学华西医院神经内科

出　　处：《临床内科杂志》2021年第11期746-748,共3页Journal of Clinical Internal Medicine

摘　　要：目的通过与普通短暂性脑缺血发作(TIA)的对比观察,探讨卒中预警综合征(SWS)的危险因素、临床特征及预后。方法收集并比较8例SWS患者(SWS组)及27例同期TIA患者(TIA组)的脑血管病危险因素、ABCD2评分、影像学检查结果及预后。结果SWS组最终发展为脑梗死、ABCD2评分≥4分、应用阿替普酶静脉溶栓治疗的患者比例及临床发作最严重时的美国国立卫生研究院卒中量表(NIHSS)评分均明显高于TIA组(P<0.05)。两组患者随访3个月后改良Rankin量表(MRS)评分比较差异无统计学意义(P>0.05)。结论SWS患者较普通TIA患者的临床表现更重,短期内发生卒中风险更高,需要临床医师早期识别、高度重视,采取综合治疗方案,积极控制发作,降低神经功能损伤程度。Objective To investigate the risk factors,clinical characteristics and prognosis of stroke warning syndrome(SWS)through the comparion with transient ischemic actack(TIA).Methods Risk factors of cerebrovascular diseases,ABCD2 scores,imaging examination results and prognosis in 8 cases of SWS patients(SWS graw)and 27 common TIA patients(TIA group)were collected and compared.Results In the SWS group,the proportion of patients who eventually developed cerebral infarction,ABCD2 score≥4 points and intravenous thrombolytic therapy with alteplase,and the NIHSS score at the most severe clinical attack were significantly higher than those in the TIA group(P<0.05).There was no significant difference in MRS score between the two groups after 3 months of follow-up(P>0.05).Conclusion The clinical manifestations of SWS patients are more serious than those of common TIA patients.SWS patients have a higher risk of stroke in the short term.Clinicians need to take comprehensive treatment as early as possible to control the attack and reduce the degree of neurological damage.

关 键 词：内囊预警综合征 短暂性脑缺血发作 卒中预警综合征 

分 类 号：R743.3[医药卫生—神经病学与精神病学]