摘要
目的探讨ABCD^2评分联合MRA对TIA发作后发生脑梗死的评估价值。方法选取2015年1月~2016年6月我院诊断治疗的TIA患者180例作为研究对象,所有患者均行ABCD^2评分及MRA检查。分析ABCD^2评分联合MRA对TIA发作后发生脑梗死的评估价值。结果 ABCD^2评分中危组与高危组7天及30天脑梗死的发生率高于低危组,差异均有统计学意义(P<0.05)。中度狭窄与严重狭窄或者闭塞患者7天及30天脑梗死发生率显著高于正常或者轻度狭窄的患者,差异均有统计学意义(P<0.05)。狭窄≥50%且ABCD^2评分<4分患者7天及30天脑梗死发生率显著高于狭窄<50%且ABCD^2评分<4分患者,差异有统计学意义(P<0.05)。结论 ABCD^2评分联合MRA评估TIA发作后发生脑梗死具有一定的优势,尤其是对血管狭窄≥50%,而ABCD^2评分<4分的患者。
Objective To discuss the value of ABCD2 score combined with MRA in the occurrence of cerebral infarction after TIA attack.Methods 180 cases of TIA from January 2015 to June 2016 in our hospital were selected as research objects. ABCD2 score and MRA examination were performed in all patients. The evaluation value of ABCD2 score combined with MRA in the occurrence of cerebral infarction after TIA attack was analyzed.Results The incidence of cerebral infarction was signiifcantly higher in the high-risk group and the middle-risk group than in the low risk group in the 7 days and 30 days （P 〈 0.05）. The incidence of cerebral infarction in patients with moderate or severe stenosiswas significantly higher than that in patients with normal or mild cerebral infarction in 7 days and 30 days （P 〈 0.05）. The incidence of cerebral infarction in patients with stenosis ≥ 50% and ABCD2 score 〈 4 points was signiifcantly higher than that in patients with stenosis 〈 50% and ABCD2 score 〈 4 points （P 〈 0.05）.Conclusion ABCD2 score combined with MRA to assess the occurrence of TIA after the onset of cerebral infarction has a certain advantage, especially forpatients with stenosis≥ 50% and ABCD2 score 〈 4 points.
出处
《中国继续医学教育》
2016年第32期69-70,共2页
China Continuing Medical Education
