河北医学2017，Vol.23Issue(10)：1629-1632,4.DOI:10.3969/j.issn.1006-6233.2017.10.013
ABCD2评分法联合TCD或MRA对TIA近期发生脑梗死的评估价值比较
Comparison of the Value of ABCD2 Score Combined with TCD or MRA in the Recent Occurrence of Cerebral Infarction in TIA
摘要
Abstract
Objective:To compare the value of ABCD2 score combined with transcranial Doppler ( TCD) or magnetic resonance angiography ( MRA) in the recent development of cerebral infarction in patients with transient ischemic attack ( TIA) . Methods:70 patients with TIA hospitalized in the department of neurol-ogy of our hospital from June 2015 to June 2017 were given ABCD2 score,40 patients underwent TCD, and 30 patients underwent MRA. Cranial MRI examination was performed within 7 days of onset of TIA,the inci-dence of cerebral infarction was evaluated. Results:Among the 70 patients,42 cases were ABCD2 scoring low-risk patients. The incidence of cerebral infarction was 4.76%. Among the 20 patients with moderate risk,the incidence of cerebral infarction was 45%. High-risk patients were 8 cases,the incidence of cerebral infarction was 62.50%. The incidence of cerebral infarction in high-risk group and high-risk group was significantly higher than that in low risk group ( P<0.01),and there was no significant difference in the incidence of cere-bral infarction between the 2 groups (P>0.05). ABCD2 score combined with TCD or MRA on TIA patients with recent cerebral infarction occurred under the diagnostic curve area AUC were 0.848 and 0.654, and the difference between the two tests was statistically significant ( Z=2.43,P=0.015) . Multivariate logistic regres-sion analysis showed that hypertension,LDL≥2.6mol/L,symptom duration≥60 min were positively correla-ted with cerebral infarction formation within 7 days after TIA. Conclusion:ABCD2 score has a good predictive value for short-term cerebral infarction in TIA. Compared with TCD, ABCD2 score combined with MRA can improve the accuracy of predicting the risk of cerebral infarction.关键词
短暂性脑缺血发作/ABCD2评分法/经颅多普勒/磁共振血管造影Key words
Transient ischemic attack/ABCD2 score/Transcranial doppler/Magnetic reso-nance angiography引用本文复制引用
厉青,倪健强..ABCD2评分法联合TCD或MRA对TIA近期发生脑梗死的评估价值比较[J].河北医学,2017,23(10):1629-1632,4.基金项目
苏州市科技计划项目,(编号:SYS201607) （编号:SYS201607）
