中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
1期
11-12
,共2页
脑缺血发作,短暂性%磁共振成像,弥散%脑梗塞%预测%ABCD评分
腦缺血髮作,短暫性%磁共振成像,瀰散%腦梗塞%預測%ABCD評分
뇌결혈발작,단잠성%자공진성상,미산%뇌경새%예측%ABCD평분
Ischemic attack,transient%Magnetic resonance imaging,diffuse%Brain infarction%Forecasting%ABCD score
目的 探讨ABCD评分结合磁共振弥散加权成像(DWI)对短暂性脑缺血发作(TIA)后7 d内发生脑梗死的临床评估价值.方法 按照ABCD评分标准,同时收集DWI的检查结果,对105例TIA患者的临床资料进行分析.结果 22例ABCD评分＜3分的TIA患者中无一例发生脑梗死,83例ABCD评分≥3分的TIA患者中发生脑梗死24例(28.9%),且ABCD评分越高,脑梗死发生率越高(P＜0.01).DWI异常者42例,发生脑梗死9例(21.4%),DWI正常者50例,发生脑梗死2例(4.0%),两者比较差异有统计学意义(P＜0.05).结论 ABCD评分是临床预测TIA短期发展为脑梗死的有效方法,结合DWI更能提高其临床评估价值.
目的 探討ABCD評分結閤磁共振瀰散加權成像(DWI)對短暫性腦缺血髮作(TIA)後7 d內髮生腦梗死的臨床評估價值.方法 按照ABCD評分標準,同時收集DWI的檢查結果,對105例TIA患者的臨床資料進行分析.結果 22例ABCD評分＜3分的TIA患者中無一例髮生腦梗死,83例ABCD評分≥3分的TIA患者中髮生腦梗死24例(28.9%),且ABCD評分越高,腦梗死髮生率越高(P＜0.01).DWI異常者42例,髮生腦梗死9例(21.4%),DWI正常者50例,髮生腦梗死2例(4.0%),兩者比較差異有統計學意義(P＜0.05).結論 ABCD評分是臨床預測TIA短期髮展為腦梗死的有效方法,結閤DWI更能提高其臨床評估價值.
목적 탐토ABCD평분결합자공진미산가권성상(DWI)대단잠성뇌결혈발작(TIA)후7 d내발생뇌경사적림상평고개치.방법 안조ABCD평분표준,동시수집DWI적검사결과,대105례TIA환자적림상자료진행분석.결과 22례ABCD평분＜3분적TIA환자중무일례발생뇌경사,83례ABCD평분≥3분적TIA환자중발생뇌경사24례(28.9%),차ABCD평분월고,뇌경사발생솔월고(P＜0.01).DWI이상자42례,발생뇌경사9례(21.4%),DWI정상자50례,발생뇌경사2례(4.0%),량자비교차이유통계학의의(P＜0.05).결론 ABCD평분시림상예측TIA단기발전위뇌경사적유효방법,결합DWI경능제고기림상평고개치.
Objective To investigate the clinical value of ABCD score combined widl diffuse weighing imaging(DWI)for the estimation of transient ischemic attack(TIA)advancing to cerebral infarction in 7 days.Method The clinical dataincludingABCD score and DWI of 105 cases with TIA were analyzed.Results None of TIA patients with ABCD scores＜3 advanced to cerebral infarction.There were 83 cases with ABCD scores≥3,among whom 24 cases(28.9%)advanced to cerebral infarction.The higher ABCD scores,the higher incidence of cerebral infarction(P＜0.01).Nine of 42 cases(21-4%)with DWI abnrmal advanced to cerebral infarction,while 2 of 50 cases(4.0%)with normal DWI advanced to cerebml infarction (P＜0.05).Conclusion ABCD score is alleffective method for the estimation of TIA advancing to cerebral infarction,and when combined with DWI it is more efficient
