ABCD2评分作为TIA患者短期发生脑梗死风险指标的分析

Analysis of ABCD2 score in TIA patients with cerebral infarction as short-term risk index

目的:观察分析暂时性脑缺血发作(TIA)患者7 d和30 d内进展为脑梗死的危险因素。方法:以79例TIA为观察对象,收集其临床资料,并按Johnston提出的7分"ABCD2"评分法给予评分,随访TIA患者7d和30 d内脑梗死的发生率。结果:TIA发生后,在30 d之内发生了29例脑梗死患者,其百分比为36.7%,其中有18例患者在7 d之内发生,其百分比为22.8%。"ABCD2"评分≥4分是TIA后发生脑梗死的独立危险因素。结论:"ABCD2"评分多的TIA患者短期内发生脑梗死的危险性较高,要及时到医院进行治疗,采用抗血小板聚集以及抗凝治疗,可以对TIA患者脑梗死的发生率进行有效的降低。

Objective： To observe and analyze the transient ischemic attack （TIA） patients, 7 days and 30 days for the progress of the risk factors of cerebral infarction. Methods： 79 patients with TIA were selected, collection the clinical data, 7 ＂ABCD2＂ score method proposed by Johnston to give the score, with the incidence of TIA in 7 days and 30 days of cerebral infarction. Results ： After TIA, there were 29 cases of cerebral infarction patients in 30 days, the percentage is 36.7% , of which 18 cases happened in 7 days, the percentage is 22.8%. ＂ABCD2＂ score ≥ 4 were independent risk factors of cerebral infarction after TIA. Conclusion ： Higher risk of ＂ ABCD2＂ score more patients with TIA within a short period of cerebral infarction, must promptly to the hospital for treatment, using antiplatelet and anticoagulant therapy, can be on the incidence of TIA in patients with cerebralinfarction were effectively reduced.