中国民康医学
中國民康醫學
중국민강의학
MEDICAL JOURNAL OF CHINSEE PEOPLE HEALTH
2014年
18期
4-5,32
,共3页
梅飞来%秦伟%张晓丹%胡文立
梅飛來%秦偉%張曉丹%鬍文立
매비래%진위%장효단%호문립
短暂性脑缺血发作%脑梗死%ABCD2 评分%磁共振弥散加权成像
短暫性腦缺血髮作%腦梗死%ABCD2 評分%磁共振瀰散加權成像
단잠성뇌결혈발작%뇌경사%ABCD2 평분%자공진미산가권성상
Transient ischemic attack%Cerebral infarction%ABCD2 score%Magnetic resonance diffusion-weighted imaging
目的::探讨 ABCD2评分结合磁共振弥散加权成像(DWI)用于短暂性脑缺血发作(TIA)患者脑梗死风险的早期预测价值。方法:选取166例临床诊断为 TIA 的患者,根据 ABCD2评分分为低危组75例,中危组60例,高危组31例;同时依据 DWI 结果将患者又分为 DWI异常组96例和 DWI 正常组70例,随访 TIA 患者后2d、7d 和90d 内的脑梗死发生率。结果:患者 TIA 后第2天、第7天和第90天脑梗死率分别为7.8%、11.4%和15.7%。与低危组比较,ABCD2评分逸4分的中危组和高危组患者脑梗死发生率明显增高,差异有统计学意义( P<0.05)。 ABCD2评分逸4且 DWI 异常组患者脑梗死发生率明显高于其他组,差异有统计学意义(P<0.05)。结论:ABCD2评分法早期预测TIA 患者脑梗死风险的准确性较高,结合 DWI 检查结果能进一步提高预测准确性。
目的::探討 ABCD2評分結閤磁共振瀰散加權成像(DWI)用于短暫性腦缺血髮作(TIA)患者腦梗死風險的早期預測價值。方法:選取166例臨床診斷為 TIA 的患者,根據 ABCD2評分分為低危組75例,中危組60例,高危組31例;同時依據 DWI 結果將患者又分為 DWI異常組96例和 DWI 正常組70例,隨訪 TIA 患者後2d、7d 和90d 內的腦梗死髮生率。結果:患者 TIA 後第2天、第7天和第90天腦梗死率分彆為7.8%、11.4%和15.7%。與低危組比較,ABCD2評分逸4分的中危組和高危組患者腦梗死髮生率明顯增高,差異有統計學意義( P<0.05)。 ABCD2評分逸4且 DWI 異常組患者腦梗死髮生率明顯高于其他組,差異有統計學意義(P<0.05)。結論:ABCD2評分法早期預測TIA 患者腦梗死風險的準確性較高,結閤 DWI 檢查結果能進一步提高預測準確性。
목적::탐토 ABCD2평분결합자공진미산가권성상(DWI)용우단잠성뇌결혈발작(TIA)환자뇌경사풍험적조기예측개치。방법:선취166례림상진단위 TIA 적환자,근거 ABCD2평분분위저위조75례,중위조60례,고위조31례;동시의거 DWI 결과장환자우분위 DWI이상조96례화 DWI 정상조70례,수방 TIA 환자후2d、7d 화90d 내적뇌경사발생솔。결과:환자 TIA 후제2천、제7천화제90천뇌경사솔분별위7.8%、11.4%화15.7%。여저위조비교,ABCD2평분일4분적중위조화고위조환자뇌경사발생솔명현증고,차이유통계학의의( P<0.05)。 ABCD2평분일4차 DWI 이상조환자뇌경사발생솔명현고우기타조,차이유통계학의의(P<0.05)。결론:ABCD2평분법조기예측TIA 환자뇌경사풍험적준학성교고,결합 DWI 검사결과능진일보제고예측준학성。
Objective:To study the value of combined ABCD2 score and magnetic resonance diffusion - weighted imaging (DWI) to early predict cerebral infarction risk in transient ischemic attack (TIA) patients. Methods:166 clinical diagnosed TIA pa-tients were divided into low risk group (n=75), moderate risk group (n=60) and high risk group (n=31) according to their ABCD2 scores. The patient were further divided into DWI positive group (n=96) and DWI negative group (n=70) according to the DWI find-ings. The incidence of cerebral infarction was observed 2, 7 and 90 days after the presence of TIA. Results: The incidence of cerebral infarction after the presence of TIA on day 2, 7 and 90 was 7. 8% , 11. 4% and 15. 7% , respectively. The incidence of cerebral in-farction after TIA was significantly higher in moderate and high risk group than that in low risk group (P<0. 05). The incidence of cer-ebral infarction in patients with ABCD2 score ≥4 and acute infarct on diffusion weighted imaging was significantly higher than that in other groups (P<0. 05). Conclusions: The ABCD2 score is effective in the early prediction of cerebral infarction risk in the patients with TIA. Combination with DWI can further improve the predictive accuracy.