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短暂性脑缺血发作患者ABCD~2评分与颈动脉狭窄对脑梗死危险的评估研究
引用本文:马静,白永生,金立元,郭爱玲.短暂性脑缺血发作患者ABCD~2评分与颈动脉狭窄对脑梗死危险的评估研究[J].宁夏医学杂志,2011,33(11):1032-1033.
作者姓名:马静  白永生  金立元  郭爱玲
作者单位:宁夏自治区人民医院,宁夏,银川,750021
基金项目:宁夏自然科学基金项目(NZ11162)
摘    要:目的分析ABCD2评分与颈动脉狭窄对短暂性脑缺血发作(TIA)后30 d脑梗死发生的评估价值。方法以住院的173例TIA患者为研究对象,收集其临床资料和颈动脉超声检查结果,随访TIA后30 d内脑梗死的发生率,并分析"ABCD2"评分、颈动脉狭窄程度与TIA后短期内发生脑梗死的关系。结果颈动脉狭窄≥50%的TIA患者128例,发生脑梗死46例(35.9%);颈动脉狭窄〈50%的TIA患者45例,发生脑梗死9例(20%),两组比较差异有统计学意义(P〈0.05);ABCD2评分越高,脑梗死的发生率越高(P〈0.05),颈动脉狭窄越重,ABCD2评分越高(Gamma=0.433,P〈0.05)。结论 ABCD2评分法对TIA后脑梗死发生有预测价值,ABCD2评分结合彩色多普勒超声对颈动脉狭窄度检查能进一步提高TIA脑梗死预测的准确性。

关 键 词:短暂性脑缺血发作  脑梗死  颈动脉狭窄

The evaluation of carotid stenosis and ABCD~2 scores of cerebral infarction risk in patients with transient ischemic attack
MA Jing,BAI Yong-sheng,JING Li-yuan,et al..The evaluation of carotid stenosis and ABCD~2 scores of cerebral infarction risk in patients with transient ischemic attack[J].Ningxia Medical Journal,2011,33(11):1032-1033.
Authors:MA Jing  BAI Yong-sheng  JING Li-yuan  
Institution:MA Jing,BAI Yong-sheng,JING Li-yuan,et al.(Ningxia People's Hospital,Yinchuan 750021,China)
Abstract:Objective To investigate the correlation between carotid stenosis and ABCD2 scores in patients with transient ischemic attack(TIA),and to validate carotid stenosis and ABCD2 scores in predicting cerebral infarction of transient ischemic attack(TIA) 30 days after diagnosis.Methods A total of 173 patients with atherosclerotic TIA were selected and all patients underwent carotid artery ultrasonic examination and were evaluated with ABCD2 system.The patients were divided into 3 groups according to ABCD2 scores ...
Keywords:Transient ischemic attack  Cerebral infarction  Carotid stenosis  
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