用ABCD^2评分预测短暂性脑缺血发作近期脑卒中的风险

Application of ABCD^2 score in predicting risk of cerebral ischemic stroke after transient cerebral ischemia

目的探讨ABCD2评分在预测短暂性脑缺血发作(TIA)后7d进展为脑卒中风险的价值。方法选择TIA患者114例,根据7d内是否进展为脑梗死分为脑梗死组28例和非脑梗死组86例。同时采用ABCD2评分,将患者分为高危组13例(6～7分),中危组69例(4～5分),低危组32例(0～3分),观察7d内脑梗死的发生率。结果脑梗死组ABCD2评分各项指标均较非脑梗死组明显升高(P<0.05)。低危组、中危组和高危组7d内发生脑梗死的比例分别是3.1%、28.9%、53.8%,3组比较差异有统计学意义(P<0.05)。结论 ABCD2评分是临床上预测TIA短期进展为脑梗死的一种比较有效的方法。

Objective To study the chemic stroke 7 days after transie application of ABCD2 score in nt cerebral ischemia. Methods predicting the risk of cerebral is One hundred and fourteen pa tients with transient cerebral ischemia were divided into cerebral infarction group （n = 28） and non-cerebral infarction group （n= 86）. The patients were further divided into high risk group （n= 13） with an ABCD2 score of 6--7,medium risk group （n=69） with an ABCD2 score of 4--5,and low risk group （n=32） with an ABCD2 score of 0-3. The incidence of cerebral infarction was ob served in different groups within 7 days after transient cerebral ischemia. Results The incidence of cerebral infarction was 3. 1 %,28.9%, and 53.8%, respectively, in low, medium and high risk groups within 7 days after transient cerebral ischemia （P〈0.05）. Conclusion ABCD2 score can effectively predict the risk of cerebral ischemic stroke after transient cerebral ischemia.