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。
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.
出处
《临床医学研究与实践》
2017年第34期53-54,共2页
Clinical Research and Practice
