用ABCD评分法预测173例TIA患者的卒中风险

Stroke risk assessment after transient ischemic attack with ABCD score

目的:探讨ABCD评分法在预测患者短暂性脑缺血发作(TIA)后卒中风险上的作用。方法:应用6分制ABCD评分法对173例TIA患者的临床资料进行分析。结果:TIA后7d内发生卒中的患者中,86.7%的患者评分≥5分,所有得6分的患者有80.0%于7d内发生卒中,所有得5分的患者有32.1%于7d内发生卒中,得分≤4的患者只有1.4%于7d内发生卒中。结论:ABCD评分法是一种简便易行的对TIA患者进行分层评价的办法。

Objective： To study the clinical effectiveness of ABCD score in assessing the stroke risk after transient ischemic attack （TIA）. Methods： ABCD score was used to stratify 173 patients with TIA and to grade the 7-day stroke risk. Results： For patients who developed stroke within 7 days after TIA, the score was 5 or greater in 86.7% of them. The percentages of patients who developed stroke within 7 days after TIA were 80.0% in patients with score of 6, 32.1% in those with score of 5, and 1.4% in those with score of 4 or less. Conclusion： ABCD score can be used in routine clinical practice to assess the stroke risk in patients with TIA.