摘要
目的:探讨ABCD3-I评分联合经颅多普勒(TCD)预测短暂性脑缺血发作(TIA)患者短期进展为脑梗死的价值.方法:选取2018年12月~2021年11月我院收治的136例TIA患者作为研究对象.将第7天定为终点事件时间,根据患者是否进展为脑梗死,将患者分为脑梗死组(n=29)和非脑梗死组(n=107).采用ABCD3-I评分法和TCD计算TIA患者7d内脑梗死发生率.结果:两组间症状持续时间(≥60min)、双重TIA、同侧颈动脉狭窄≥50%、MR、DWI高信号、ABCD3-I评分差异有统计学意义,其余指标差异无统计学意义.ABCD3-I评分高危组7d内TIA患者脑梗死发生率显著高于中危组和低危组.脑供血动脉重度狭窄TIA患者7d内脑梗死发生率显著高于中度狭窄和正常或轻度狭窄.脑供血动脉狭窄程度≥50%且ABCD3-I评分≥4分TIA患者7d内脑梗死发生率明显高于脑供血动脉狭窄程度<50%且ABCD3-I评分≥4分TIA患者,差异有统计学意义.ABCD3-I评分联合TCDROC曲线下面积显著大于ABCD3-I评分和TCD.结论:ABCD3-I评分联合TCD对TIA患者短期进展为脑梗死具有较高的预测价值.
Objective To investigate the value of ABCD3-I score combined with transcranial Doppler(TCD)in predict-ing short-term progression to cerebral infarction in patients with transient ischemic attack(TIA).Methods A total of 136 TIA patients admitted to our hospital from December 2018 to November 2021 were selected as the research subjects.The 7th day was set as the end point event time,and the patients were divided into cerebral infarction group(n=29)and non-cerebral inf-arction group(n=107)according to whether the patients progressed to cerebral infarction.The ABCD3-I score and TCD were used to calculate the incidence of cerebral infarction in TIA patients within 7 days.Results There were significant differences in symptom duration(≥60min),double TIA,ipsilateral carotid artery stenosis≥50%,MR,DWI hyperintensity,and ABCD3-I score between the two groups,but no difference in other indicators.Statistical significance.The incidence of cerebral infarc-tion in the high-risk group with ABCD3-I score within 7 days was significantly higher than that in the intermediate-risk group and the low-risk group.The incidence of cerebral infarction within 7 days in TIA patients with severe stenosis of cerebral blood supply artery was significantly higher than that with moderate stenosis and normal or mild stenosis.The incidence of cerebral infarction within 7 days of TIA patients with cerebral supplying artery stenosis degree≥50%and ABCD3-I score≥4 points was significantly higher than that of TIA patients with cerebral supplying artery stenosis degree<50%and ABCD3-I score≥4 points,the difference was statistically significant significance.The area under the ROC curve of ABCD3-I score combined with TCD was significantly larger than that of ABCD3-I score and TCD.Conclusion ABCD3-I score combined with TCD has a high predictive value for short-term progression to cerebral infarction in patients with TIA.
作者
刘海燕
Liu Hai-yan(Department of Ultrasound,The People’s Hospital of Langfang City,Langfang 065000,China)
出处
《湖南师范大学学报（医学版）》
2022年第3期113-116,共4页
Journal of Hunan Normal University(Medical Sciences)
