摘要
目的探讨采用ABCD2评分法预测短暂性脑缺血发作(TIA)进展为脑梗死的价值。方法按照Johnston等对TIA的ABCD2评分标准,测定148例TIA患者的评分,并观察其2、7、90 d内脑梗死的发生率。结果评分≤3分的TIA患者有69例,2、7、90 d发生脑梗死的例数分别为3例(4.3%)、5例(7.2%)、6例(8.7%);评分为4或5分的患者51例,2、7、90 d进展为脑梗死的例数分别为5例(9.8%)、8例(15.6%)和10例(17.6%);评分≥6分的患者28例,2、7、90 d进展为脑梗死的例数分别为8例(28.6%)、10例(35.7%)、13例(46.5%)。不同ABCD2评分值的TIA患者,其脑梗死发生率差异均有统计学意义(P均<0.05)。结论ABCD2评分值不同的TIA患者,脑梗死的发生率不同,分值越高,发生率越高。ABCD2评分标准是临床预测TIA短期进展为脑梗死的一种简便、有效的方法。
Objective To investigate the value of the ABCD2 score in forecasting the risk of stoke after transient ischemic attack(Transient Ischemic Attack,TIA).Methods 148 cases of TIA patients were evaluated based on the score of ABCD2 criteria termed by Johnston and the incidence of cerebral infarction was observed within 2,7 and 90 days after the presence of TIA.Results Of the 69 TIA patients whose score was less than 4,3 had a stroke within 2 days(4.3%),5 within 7 days(7.2%) and 6 within 90 days(8.7%).Of the 51 p...
出处
《山东大学学报（医学版）》
CAS
北大核心
2009年第9期89-92,共4页
Journal of Shandong University:Health Sciences
关键词
短暂性脑缺血发作
脑梗死
预测
Transient ischemic attack
Cerebral infarction
Prediction
