ABCD3评分评价短暂性脑缺血发作患者早期发生脑梗死的风险

被引：29

作者：

舒敏

章军建

机构：

[1] 武汉大学中南医院神经科

来源：

华中科技大学学报(医学版) | 2012年 / 41卷 / 05期

关键词：

ABCD3评分; 预测; 短暂性脑缺血发作; 脑梗死;

D O I：

暂无

中图分类号：

R743.31 [短暂性脑缺血];

学科分类号：

摘要：

目的探讨短暂性脑缺血发作(transient ischemic attacks,TIA)短期内进展至脑梗死的危险因素,并评价AB-CD3评分系统临床判断患者TIA后早期高危发生脑梗死的有效性。方法回顾性统计126例TIA患者缺血性脑血管病相关的危险因素和7d内脑梗死的发生率,并对其进行ABCD3评分。结果 TIA发生后7d脑梗死的发生率为10.3%。糖尿病(OR4.28,95%CI1.48～12.30,P=0.023)、7d内TIA发作超过2次(OR6.29,95%CI 2.31～17.12,P<0.001)、同侧颈动脉狭窄≥50%(OR6.48,95%CI2.25～19.49,P<0.001)、症状持续超过60min(OR4.58,95%CI1.62～12.94,P=0.015)是TIA短期内进展至脑梗死独立的危险因素;ABCD3评分为0～3分的TIA患者脑梗死的发生率为2.3%;ABCD3评分为4～5分的TIA患者脑梗死的发生率为7.4%;ABCD3评分为6～7分的TIA患者脑梗死的发生率为15.6%;ABCD3评分为8～9分TIA患者脑梗死的发生率为21.7%,趋势性检验P<0.001。结论 ABCD3评分对TIA患者短期内进展为脑梗死的危险性有一定的预测价值,TIA患者ABCD3评分值越高,短期内进展为脑梗死的概率相对越高。

引用

页码：607 / 610

页数：4

共 9 条

[1]

Addition of Brain Infarction to the ABCD2 Score (ABCD2I): A Collaborative Analysis of Unpublished Data on 4574 Patients[J] . Matthew F. Giles,Greg W. Albers,Pierre Amarenco,Murat M. Arsava,Andrew Asimos,Hakan Ay,David Calvet,Shelagh Coutts,Brett L. Cucchiara,Andrew M. Demchuk,S. Claiborne Johnston,Peter J. Kelly,Anthony S. Kim,Julien Labreuche,Philippa C. Lavallee,Jean-Louis Mas,Aine Merwick,Jean Marc Olivot,Francisco Purroy,Wayne D. Rosamond,Rossella Sciolla,Peter M. Rothwell.Stroke . 2010 (9)

[2]

Addition of brain and carotid imaging to the ABCD 2 score to identify patients at early risk of stroke after transient ischaemic attack: a multicentre observational study[J] . áine Merwick,Gregory W Albers,Pierre Amarenco,Ethem M Arsava,Hakan Ay,David Calvet,Shelagh B Coutts,Brett L Cucchiara,Andrew M Demchuk,Karen L Furie,Matthew F Giles,Julien Labreuche,Philippa C Lavallée,Jean-Louis Mas,Jean Marc Olivot,Francisco Purroy,Peter M Rothwell,Jeffrey L Saver,órla C Sheehan,John P Stack,Cathal Walsh

[3]

Clinical- and Imaging-Based Prediction of Stroke Risk After Transient Ischemic Attack: The CIP Model[J] . Hakan Ay,E Murat Arsava,S Claiborne Johnston,Mark Vangel,Lee H. Schwamm,Karen L. Furie,Walter J. Koroshetz,A Gregory Sorensen.Stroke . 2009 (1)

[4] DWI Lesions and TIA Etiology Improve the Prediction of Stroke After TIA [J].

Calvet, David ;

Touze, Emmanuel ;

Oppenheim, Catherine ;

Turc, Guillaume ;

Meder, Jean-Francois ;

Mas, Jean-Louis .

STROKE, 2009, 40 (01) :187-192

[5]

Risk of stroke early after transient ischaemic attack: a systematic review and meta-analysis[J] . Matthew F Giles,Peter M Rothwell.Lancet Neurology . 2007 (12)

[6] Recent advances in management of transient ischaemic attacks and minor ischaemic strokes [J].

Rothwell, PM ;

Buchan, A ;

Johnston, SC .

LANCET NEUROLOGY, 2006, 5 (04) :323-331

[7] A simple score (ABCD) to identify individuals at high early risk of stroke after transient ischaemic attack [J].

Rothwell, PM ;

Giles, MF ;

Flossmann, E ;

Lovelock, CE ;

Redgrave, JNE ;

Warlow, CP ;

Mehta, Z .

LANCET, 2005, 366 (9479) :29-36

[8] Incidence and short-term prognosis of transient ischemic attack in a population-based study [J].

Kleindorfer, D ;

Panagos, P ;

Pancioli, A ;

Khoury, J ;

Kissela, B ;

Woo, D ;

Schneider, A ;

Alwell, K ;

Jauch, E ;

Miller, R ;

Moomaw, C ;

Shukla, R ;

Broderick, JP .

STROKE, 2005, 36 (04) :720-723

[9]

The high risk of stroke immediately after transient ischemic attack: A population-based study[J] . M.D. Hill,N. Yiannakoulias,T. Jeerakathil,J.V. Tu,L.W. Svenson,D.P. Schopflocher.Neurology . 2004 (11)

← 1 →