联合应用LDL-C和ABCD2评分预测短暂性脑缺血发作患者短期脑卒中风险 |
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引用本文: | 汪进丁,徐丽君,万姗姗,万和斌,张建勋.联合应用LDL-C和ABCD2评分预测短暂性脑缺血发作患者短期脑卒中风险[J].江西医药,2013,48(3):197-199. |
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作者姓名: | 汪进丁 徐丽君 万姗姗 万和斌 张建勋 |
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作者单位: | 1. 江西省九江市第一人民医院神经内科,九江,332000 2. 南昌大学第二附属医院神经内科,南昌,330006 |
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摘 要: | 目的探讨LDL-C+ABCD2评分法对短暂性脑缺血发作后7 d内发生脑梗死的预测价值。方法用ABCD2评分法和LDL-C+ABCD2评分法分别测定106例TIA患者的评分,并观察TIA后7d内脑梗死的发生率。结果LDL-C+ABCD2评分法和ABCD2评分法的曲线下面积(95%CI)分别为0.849(0.771-0.927)和0.844(0.768-0.920)。采用LDL-C+ABCD2评分中TIA患者中低、中和高危组TIA后7 d内发生脑梗死的比例分别为2.1%、33.3%和64.3%,不同脑卒中风险分层的脑梗死发生率有显著差异(P<0.05)。结论ABCD2评分法是目前临床预测TIA短期进展为脑梗死的有效的方法 ,结合LDL-C检查结果能提高预测的准确性。
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关 键 词: | LDL-C+ABCD2评分法 短暂性脑缺血发作 脑梗死 预测 危险因素 |
Early stroke risk prediction after transient ischemic attack with LDL-C+ABCD2 score |
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Institution: | WANG Jinding1,XU Lijun2,WAN Shanshan1,et al.1.Department of Neurology,First People’s Hospital of Jiujiang city,Jiujiang 332000.2.Second Affiliated Hospital to Nanchang University,Jiangxi 330006,China |
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Abstract: | Objective To explore the ability of LDL-C+ ABCD2 score in predicting cerebral infarction of transient ischemic attack(TIA) at 7th day.Methods 106 TIA patients were evaluated according to ABCD2 criteria and LDL-C+ABCD2 criteria.The occurrence of cerebral infarction was observed in 7 days.Results The AUCs(95%CI) of LDL-C+ ABCD2 and ABCD2 were 0.849(0.771-0.927) and 0.844(0.768-0.920).With an LDL-C+ABCD2 score,the 7-day risk of stroke in patients of low risk、moderate risk and high risk was 2.1%、33.3% and 64.3%.The incidence of cerebral infarction of TIA patients with different scores had statistically significant difference(P<0.05).Compared with non-infarction group,the proportions of infarction-patients with LDL-C ≥ 3.10mmol/L are independent risk factors(P<0.05).Conclusion The ABCD2 criteria is effective for predicting the occurrence of cerebral infarction after short time of TIA.and an enhanced accuracy may be expected by LDL-C+ ABCD2 score. |
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Keywords: | LDL-C+ ABCD2 score Transient ischemic attack Cerebral infarction Prediction Risk factors |
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