摘要
目的探讨ABCD2评分联合颈部血管超声对短暂性脑缺血发作后7d内发生脑梗死的预测价值。方法收集颈内动脉系统TIA患者80例,并根据ABCD2评分及颈部血管超声结果进行分组,比较各组患者TIA后7d内脑梗死发生率。结果80例TIA患者7d内进展为脑梗死共18例(22.5%),低、中、高危组患者7d内进展为脑梗死的比例分别为6.9%、27.3%、38.9%,各组比较差异有统计学意义(P<0.05)。颈动脉超声斑块组和无斑块组脑梗死发生率分别为47.1%、4.3%(P<0.05)。ABCD2评分≥4分的患者中,颈动脉超声斑块组脑梗死发生率为54.2%,高于无斑块组(11.1%)(P<0.05)。结论 ABCD2评分联合颈动脉超声对评估短暂性脑缺血发作患者早期发生脑梗死的风险具有重要意义。
Objective To investigate the value of ABCD2 score combined with carotid ultrasound in predicting cerebral in- farction after transient ischemic attack （TIA） at 7d. Methods 80 patients with TIA were selected,and we divided the subjects into different groups according to ABCI-Y score and carotid ultrasound, the incidence of cerebral infarction within 7 days after TIA in each group was compared. Results In the 80 TIA patients, 18 patients progressed to cerebral infarction in 7 days,the 7 days inci- dence of cerebral infarction was 6.9% in patients with an ABCD^2 score of low risk, 27.3% with a score of moderate, and 38.9 with a score of high risk. The difference between each group was statistically significant （P〈0.05）. The incidence of cerebral in- farction in carotid plaque group and non-plaque group was 47.1%,4.3% （P〈0.05）. In ABCD2 score≥4 group, the incidence of cerebral infarction in carotid plaque group was 54.2 %, which was higher than that in non-plaque group （11.1%） （P〈0.05）. Conclusion Combined ABCD2 score with carotid ultrasound can develop the predicted risk of cerebral infarction after TIA early.
出处
《中国实用神经疾病杂志》
2018年第3期294-296,共3页
Chinese Journal of Practical Nervous Diseases
基金
山东省自然科学基金(联合专项)
编号:ZR2015HL042
