摘要
目的评价短暂性脑缺血发作(TIA)患者ABCD^2评分与卒中发生率及颅内血管狭窄之间的关系。方法回顾性研究84例TIA患者ABCD^2评分和颅脑磁共振血管成像(MRA)影像资料,根据ABCD^2评分分为评分≥4分组(中高危组)和<4分组(低危组);根据MRA评估分为脑血管狭窄≥50%组和狭窄<50%组。评价ABCD^2评分与脑血管狭窄之间的相关性。结果血管狭窄≥50%组与血管狭窄<50%组比较,ABCD2评分≥4分的比率增高;既往有脑卒中病史的患者比率增高;脑血管狭窄≥50%组与脑血管狭窄<50%组比较,前者TLA后2 d内的脑卒中发生率明显增高。结论 ABCD^2评分≥4分MRA显示颅内血管狭窄率高,既往有脑卒中病史的TIA患者颅内血管狭窄率高,颅内血管狭窄≥50%组TIA后2 d内发生卒中的风险增高。
Objective To evaluate the relationship between ABCD2 score and cerebrovacular stenosis of patients plus the rate of stroke with transient ischemic attack （TIA）. Methods Retrospectively reviewed the medical records of 84 cases who were examined by the magnetic resonance angiography（MRA） with TIA. All the cases were divided into 2 groups according to whether cerebrovascular vascular stenosis ≥50% or not, and divided into 2 groups according to whether ABCD2 score ≥4 point or not. The relationship between ABCD2 score and cerebrevaculare vascular stenosis was analyzed. Results The group stenosis 350% contained more cases whose ABCD2 score 34 compared with the group stenosis 〈 50%. The group stenosis ≥50% contained more cases who had stroke history than those in the group stenosis 〈 50%. The stroke within 2 days after YrIA is higher in group cerebrovascular stenosis 350% than that in group stenosis 〈 50%. Conclusion The patients with ABCD^2 score 34 show higher rate of cerebrevascular stenosis. Patients with previous stroke undergo a high rate of cerebrovascular vascular slenosis. The stroke within 2 days after TIA is higher in patients with cerebrovascular stenesis 350%.
出处
《中国医学创新》
CAS
2011年第28期3-5,共3页
Medical Innovation of China
