用ABCD2评分法预测38例TIA患者的卒中风险

Stroke Risk Assessment after Transient Ischemic Attack with ABCD2 Score

目的探讨用ABCD2评分法在预测患者TIA后7d内卒中风险上的作用。方法应用Johnston SC和Rothwell等建立的7分制ABCD2评分法对38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,高危组(6～7分)占100%(2/2),中危组(4～5分)占15%(3/20);80%评分≥5分,所有得6分的患者中100%进展为卒中,所有得5分的患者有66.7%于7d内发生卒中,得分≤4分的患者只有3.0%于7d内发生卒中。结论 ABCD2评分法简便易行,可以作为急诊TIA患者分层评价的方法。

Objective To study the clinical effect of ABCD2 score in assessing the stroke risk after transient ischemic attack（TIA） within 7 days. Methods ABCD2 score was used to stratify 38 cases with TIA and to grade the 7day stroke risk. Results Of all the patients who developed stroke within 7 days after TIA. The rate of high-risk group （6-7points） was 100%（2/2 cases）,the rate of medium risk group （4-5 points） was 15% （3/20）;80% seore≥5 points,the patients all developed stroke whithin 7 days after TIA whose score was 6 point,there was 66.7% of all the patients whose score was 5 point developed stroke within 7 days after TIA,only 3.0% of all the patients whose score was 4 point developed stroke. Conclusion ABCD2 score is simple,it can be used as a emergency method to evaluate TIA stratified.