ABCD2评分预测TIA患者脑梗死风险的研究

被引：1

作者：

罗榕 ^{[1
]}

吴波 ^{[2
]}

机构：

[1] 峨眉山市人民医院内一科

[2] 四川大学华西医院神经内科

来源：

西部医学 | 2013年 / 25卷 / 06期

关键词：

ABCD2评分; 短暂性脑缺血发作; TIA; 卒中; 风险评估;

D O I：

暂无

中图分类号：

R743.31 [短暂性脑缺血];

学科分类号：

1002 ;

摘要：

目的评估ABCD2评分法预测短暂性脑缺血发作(TIA)后7天内发生卒中风险的作用。方法采用连续性、前瞻性登记的研究方法,以87例TIA患者为研究对象,应用7分制ABCD2评分法对入选患者评分,根据患者7天内脑梗死的发生率,分析ABCD2评分法预测TIA发作后7天内发生卒中的风险。结果 TIA发作后7天内发生脑梗死的患者中,88.98%的患者评分≥5分。评分7分的患者有66.7%于7天内发生卒中,6分的患者有23.5%于7d内发生卒中,5分的患者有8.33%于7天内发生卒中,<5分的患者只有3.85%于7天内发生卒中。结论 ABCD2评分法是一种简便易行的对TIA患者进行分层评价的方法,利用ABCD2评分法有助于临床工作中快速筛选出短期内脑梗死高危患者,对该类高危患者尽早干预,可降低TIA后脑梗死的发生。

引用

页码：862 / 864

页数：3

共 10 条

[1]

Guidelines for the Prevention of Stroke in Patients With Stroke or Transient Ischemic Attack: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association[J] . Karen L. Furie,Scott E. Kasner,Robert J. Adams,Gregory W. Albers,Ruth L. Bush,Susan C. Fagan,Jonathan L. Halperin,S. Claiborne Johnston,Irene Katzan,Walter N. Kernan,Pamela H. Mitchell,Bruce Ovbiagele,Yuko Y. Palesch,Ralph L. Sacco,Lee H. Schwamm,Sylvia Wassertheil-Smoller,Tanya N. Turan,D

[2]

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)

[3] Higher ABCD2 Score Predicts Patients Most Likely to Have True Transient Ischemic Attack [J].

Josephson, S. Andrew ;

Sidney, Stephen ;

Pham, Trinh N. ;

Bernstein, Allan L. ;

Johnston, S. Claiborne .

STROKE, 2008, 39 (11) :3096-3098

[4] Validation of the ABCD score in identifying individuals at high early risk of stroke after a transient ischemic attack [J].

Tsivgoulis, Georgios ;

Spengos, Konstantinos ;

Manta, Panagiota ;

Karandreas, Nikolaos ;

Zambelis, Thomas ;

Zakopoulos, Nikolaos ;

Vassilopoulos, Demetrios .

STROKE, 2006, 37 (12) :2892-2897

[5]

Transient Ischemic Attack: A Dangerous Harbinger and an Opportunity to Intervene[J] . S. Johnston. Semin Neurol . 2005 (04)

[6] 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

[7] 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

[8]

Timing of TIAs preceding stroke: Time window for prevention is very short[J] . Peter M. Rothwell,Charles P. Warlow. Neurology . 2005 (5)

[9] Transient ischemic attacks are more than "ministrokes" [J].

Daffertshofer, M ;

Mielke, O ;

Pullwitt, A ;

Felsenstein, M ;

Hennerici, M .

STROKE, 2004, 35 (11) :2453-2458

[10]

Population based study of early risk of stroke after transient ischaemic attack or minor stroke: implications for public education and organisation of services[J] . A J Coull,J K Lovett,P M Rothwell. BMJ: British Medical Journal . 2004 (7435)

← 1 →