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应用ABCD2评分法预测短暂性脑缺血发作患者进展为脑梗死的临床研究 被引量：11

Clinical study on using ABCD2 score in predicting evolution of patient with transient ischemic attack into cerebral infarction
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摘要 目的评估ABCD2评分法对短暂性脑缺血发作(TIA)患者短期内进展为脑梗死的预测价值。方法选择TIA患者120例,依据是否发展为脑梗死,分为脑梗死组32例和非脑梗死组88例,采用ABCD2评分标准对患者进行评分,并分为低危组(0～3分,38例)、中危组(4～5分,71例)和高危组(6～7分,11例),观察患者7 d内脑梗死的发生率。结果低危组、中危组和高危组患者7 d内发生脑梗死的比例分别为2.6%、32.4%和72.7%,3组比较差异有统计学意义(P<0.05)。与非脑梗死组比较,脑梗死组年龄≥60岁、入院时血压≥140/90 mm Hg(1 mm Hg=0.133 kPa)、出现肢体无力、脑缺血症状持续时间≥10 min、有糖尿病史患者比例明显增高,差异有统计学意义(P<0.05)。结论 ABCD2评分标准是临床预测TIA短期内进展为脑梗死比较有效的一种方法。 Objective To explore the ability of ABCD2 score in predicting transient ischemic attack （TIA） to evolve into cerebral infarction. Methods 120 TIA patients were evaluated according to ABCD2 criteria. The occurrence of cerebral infarction was observed in 7 days. Results The 7-day risk of stroke was 2.6% in patients with an ABCD2 score of low risk（0-3）,32.4% with a score of moderate risk（4-5） ,and 72.7% with a score of high risk（6-7）. Conclusions ABCD2 criteria is effective for predicting the occurrence of cerebral infarction after short time of TIA.
作者 刘春洁 张茁
机构地区 首都医科大学附属北京安贞医院
出处 《中华老年心脑血管病杂志》 CAS 北大核心 2010年第3期243-244,共2页 Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词 脑缺血发作 短暂性 脑梗死 糖尿病 危险因素 ischemic attack, transient brain infarction diabetes mellitus risk factors
分类号 R743.3 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献6

  • 1Johnston SC, Rothwell PM, Nguyen-Huynh MN, et al. Validation and refinement of scores to predict very early stroke risk after transient ischemic attack. Lancet, 2007,369 : 283-292.
  • 2Rothwell PM, Giles MF, Flossmann E, et al. A simple score (ABCD) to identify individuals at high early risk of stroke after transient ischaemic attack. Lancet, 2005,366 : 29-36.
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二级参考文献10

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共引文献21

同被引文献89

  • 1蒋兴亮,周京国,唐中.脑梗死患者血浆胆红素和氧化低密度脂蛋白水平变化及意义[J].中华急诊医学杂志,2005,14(2):157-160. 被引量：20
  • 2王拥军.短暂性脑缺血发作的新概念[J].国外医学（脑血管疾病分册）,2005,13(2):81-88. 被引量：104
  • 3各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380. 被引量：33037
  • 4中华医学会神经科分会.各类脑血管病诊断要点[J].中华神经科杂志,1998,:379-379.
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  • 6Coull AJ, Lovett JK, Rothwell PM. Population basedstudy of early risk of stroke after transient ischaemicat tack or minor st roke:implications for public education and organisation of services[J]. BMJ, 2004,328:326.
  • 7Hill MD, Yiannakoulias N, Jeerakathil T, et al. The high risk of stroke immediately after transient ischemic at t a ck:a populat ion-ba sed st udy[J ].Neurology, 2004, 62:2015-2020.
  • 8Johnston SC, Rothwell PM, Nguyen-Huynh MN, etal. Validation and refinement of scores to predict veryearly stroke risk after transient ischaemic attack[J].Lancet, 2007, 369:283-292.
  • 9Yang J, Fu JH, Chen XY, et al. Validation of theabcd2 score to identify the patients with high risk oflate stroke after a transient ischemic attack or minorischemic stroke[J]. Stroke, 2010, 41:1298-1300.
  • 10Tsivgoulis G, Vassilopoulou S, Spengos K. Potentialapplicability of ABCD2 score in tf iaging TIApatients[J]. Lancet, 2007, 369:1082.

引证文献11

二级引证文献42

中华老年心脑血管病杂志
2010年 第3期

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