ABCD2 评分在短暂性脑缺血发作患者早期脑梗死风险评估中的应用效果分析

曹艳

（陕西省延安市安塞区人民医院神经内科，陕西 延安，717400）

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摘要：

目的 观察ABCD2 评分在短暂性脑缺血发作早期脑梗死风险评估中的应用效果。方法 选取120 例以短暂性脑缺血发 作（TIA）收治入院的患者为研究对象，对其采用ABCD2评分，以评估ABCD2 评分对患者发生早期脑梗死的预测价值。结果 120例TIA 患者中，7 d 内进展为脑梗死者24 例，占20.00%；未进展为脑梗死者96 例，占80.00%。脑梗死组ABCD2高危比例显著高于TIA 组，差异有统计学意义（P<0.05）。高危患者的脑梗死发生率显著高于中、低危患者（P<0.01）。脑梗死发生率与 ABCD2 评分呈正相关（P<0.05）。脑梗死组患者临床症状、症状持续时间、合并症等项目评分>0 的比例显著高于TIA 组（P<0.05）。结论 ABCD2 评分可精确预测早期TIA 的脑梗死风险程度，值得临床推广应用。

关键词：ABCD2；TIA；脑梗死；风险评估

中图分类号：R743.33文献标志码：A文章编号：2096-1413(2017)34-0053-02

Effect analysis of ABCD2 score on risk assessment of early cerebral infarction in patients with transient ischemic attack
CAO Yan
(Neurology Department, Ansai District People``s Hospital of Yan``an, Yan``an 717400, China)

ABSTRACT: Objective To observe the effect of ABCD2 score on risk assessment of early cerebral infarction in transient ischemic attack. Methods A total of 120 patients with TIA in our hospital were enrolled in this study. ABCD2 score was used to evaluate the predictive value on early cerebral infarction. Results Of the 120 patients with TIA, 24 cases (20.0%) were progressed to cerebral infarction in 7 d, 96 cases (80.0%) were not. The high risk rate of ABCD2 in the cerebral infarction group was significantly higher than that in the TIA group, the difference was statistically significant (P<0.05). The incidence of cerebral infarction in high -risk patients was significantly higher than that in moderate and low -risk patients (P <0.01). The incidence of cerebral infarction was positively correlated with ABCD2 score (P <0.05). The proportions of clinical symptoms, duration of symptoms and complications scores>0 in the cerebral infarction group was significantly higher than those in the TIA group (P<0.05). Conclusion The ABCD2 score can accurately predict the risk of early stage TIA cerebral infarction, which is worthy of clinical application.
KEYWORDS: ABCD2; TIA; cerebral infarction; risk assessment

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