摘要
目的:探讨短暂性脑缺血发作(transient ischemic attack,TIA)患者颅内血管狭窄程度和ABCD2评分与近期预后的关系,为该类疾病的治疗提供参考。方法:选取2013年6月至2016年3月在本院就诊的TIA患者139例,根据影像学检查判断患者颅内血管狭窄程度,对患者进行ABCD2评分,并比较不同情况的患者7 d脑梗死的发生率。结果:139例TIA患者中近7 d内发生脑梗死的28例,占比为20.14%。TIA患者ABCD2评分等级越高,发生脑梗死患者的占比越高,ABCD2评分等级之间存在统计学意义(P<0.05);TIA患者脑供血动脉狭窄程度越重,发生脑梗死患者的占比越高,脑供血动脉狭窄程度之间存在统计学意义(P<0.05);狭窄≥50%且ABCD2评分≥4分发生脑梗死比率和狭窄<50%且ABCD2评分<4分比较,差异具有统计学意义(P<0.05)。结论:颅内血管狭窄程度和ABCD2评分对TIA患者近期预后具有一定的指导意义,颅内血管狭窄程度越严重,ABCD2评分越高,发生脑梗死的概率越大,要尽早采取预防措施。
Objective To investigate the relationship between the degree of intracranial vascular stenosis and ABCD2 score andshort term prognosis in patients with transient ischemic attack （T IA ） , and to provide reference for the treatment of the disease. Methods：139 cases of TIA patients from June 2013 to March 2016 in our hospital were selected, according to the examination of imaging, thedegree of intracranial vascular stenosis was judged, ABCD2 score for patients were graded, the 7 d incidences of cerebral infarction inpatients with different situations were compared. Results：28 cases of cerebral infarction occurred within 7d in 139 patients with TIC,theproportion was 20. 14% . The higher the grade of ABCD2 score in patients with TIA ,the higher the proportion of patients with cerebralinfarction, there was statistical significance between the ABCD2 score（P 〈 0. 0 5 ）. The more severe cerebral artery stenosis in patientswith TIA , the higher the proportion of patients with cerebral infarction, the degree of cerebral artery stenosis was statistically significant（ P 〈 0. 0 5 ）. The occurrence ratio of cerebral infarction in the situation of the degree of stenosis ^ 5 0 % and the ABCD2 score ^ 4points,was compared with that in the situation of the degree of stenosis 〈50% and the ABCD2 score 〈 4 points,the difference was statisticalsignificant（ P 〈 0. 0 5 ）. Conclusion ： The degree of intracranial vascular stenosis and ABCD2 score has certain guiding significancefor the short - term prognosis of patients with TIA , The more stenosis the degree intracranial vascular, the higher the ABCD2score, and the probability of occurrence of cerebral infarction is greater, precautionary measures should be carried out as soon as possible.
出处
《川北医学院学报》
CAS
2017年第2期221-223,共3页
Journal of North Sichuan Medical College
基金
航天中心医院院内课题(yn201323)
