短暂性脑缺血发作卒中危险分级临床分析

Clinical analysis of stroke risk stratification of transient ischemic attack

目的探讨短暂性脑缺血发作卒中危险分级的临床应用价值。方法选取2010-04—2013-04我院收治的90例短暂性脑缺血发作患者为研究对象,随机分为观察组与对照组;依据发病危险分级:低危组(0~3分)、中危组(4~5分)和高危组(6~7分),分别予以ABCD评分和ABCD2评分预测发展为脑卒中的价值。结果 2组危险分级分布情况相近(P>0.05);但在预测发生第2、7、90天脑卒中发生率、脑梗死体积、MESSS评分、ROC曲线下面积比较差异有统计学意义(P<0.05)。结论 ABCD2评分对预测短暂性脑缺血发作卒中危险分级有重要指导作用。

Objective To investigate the application value of stroke risk classification of transient ischemic attack in the clinic ,in order to improve the level of clinical treatment. Methods Totally 180 cases of patients with transient ischemic attack between April 2010 and April 2013 were selected as the subject for the study ,and divided into two groups ,low-risk group (0-3 points) ,medium-risk group (4-5 points) and high-risk group (6-7 points). ABCD score and ABCD2 score were used to pre-dict the value for the development of stroke respectively.Results The distribution of risk stratification of the two groups were similar (P>0.05);however there was a significant difference in their prediction for the incidence of stroke 、cerebral infarct vol-ume、NIHSS score、 the area under the ROC curve on the 2d , 7d , 90d ( P< 0.05 ) , there was a statistically signifi-cant.Conclusion ABCD2 score has an important guiding role in risk stratification of transient ischemic attack for predicting the occurrence of stroke.