中国实验诊断学
中國實驗診斷學
중국실험진단학
CHINESE JOURNAL OF LABORATORY DIAGNOSIS
2014年
10期
1632-1635
,共4页
ABCD2 评分法%头颈部CTA%短暂性脑缺血%脑梗死
ABCD2 評分法%頭頸部CTA%短暫性腦缺血%腦梗死
ABCD2 평분법%두경부CTA%단잠성뇌결혈%뇌경사
ABCD2 score method%CAT in head and neck%Transient cerebral ischemia%Cerebral infarction
目的：探讨ABCD2评分法结合头颈部CT血管成像（CTA）对短暂性脑缺血发作后早期进展为脑梗死的预测价值。方法选取我院2011年1月-2013年1月短暂性脑缺血（TIA）患者60例，分析其临床资料，根据 ABCD2评分标准对所有患者进行评分，分为高危组、中危组和低危组；根据 CTA的检查结果将所有患者分为血管狭窄＜50％组和血管狭窄≥50％组。对患者出现TIA后7天之内发生脑梗死的概率进行观察。结果11例（18．3％）患者TIA后7天内出现脑梗死。高危组、中危组和低危组发生脑梗死的概率差异显著，具有统计学意义（P＜0．05）。血管狭窄≥50％组出现脑梗死的概率明显高于血管狭窄＜50％组（P＜0．05）。并且低危组患者中血管狭窄≥50％组出现脑梗死的概率同样明显高于血管狭窄＜50％组（P＜0．05）。结论 ABCD2评分能够有效地预测患者出现 TIA后早期进展为脑梗死，再结合头颈部CTA检查，能够进一步提高预测准确性。
目的：探討ABCD2評分法結閤頭頸部CT血管成像（CTA）對短暫性腦缺血髮作後早期進展為腦梗死的預測價值。方法選取我院2011年1月-2013年1月短暫性腦缺血（TIA）患者60例，分析其臨床資料，根據 ABCD2評分標準對所有患者進行評分，分為高危組、中危組和低危組；根據 CTA的檢查結果將所有患者分為血管狹窄＜50％組和血管狹窄≥50％組。對患者齣現TIA後7天之內髮生腦梗死的概率進行觀察。結果11例（18．3％）患者TIA後7天內齣現腦梗死。高危組、中危組和低危組髮生腦梗死的概率差異顯著，具有統計學意義（P＜0．05）。血管狹窄≥50％組齣現腦梗死的概率明顯高于血管狹窄＜50％組（P＜0．05）。併且低危組患者中血管狹窄≥50％組齣現腦梗死的概率同樣明顯高于血管狹窄＜50％組（P＜0．05）。結論 ABCD2評分能夠有效地預測患者齣現 TIA後早期進展為腦梗死，再結閤頭頸部CTA檢查，能夠進一步提高預測準確性。
목적：탐토ABCD2평분법결합두경부CT혈관성상（CTA）대단잠성뇌결혈발작후조기진전위뇌경사적예측개치。방법선취아원2011년1월-2013년1월단잠성뇌결혈（TIA）환자60례，분석기림상자료，근거 ABCD2평분표준대소유환자진행평분，분위고위조、중위조화저위조；근거 CTA적검사결과장소유환자분위혈관협착＜50％조화혈관협착≥50％조。대환자출현TIA후7천지내발생뇌경사적개솔진행관찰。결과11례（18．3％）환자TIA후7천내출현뇌경사。고위조、중위조화저위조발생뇌경사적개솔차이현저，구유통계학의의（P＜0．05）。혈관협착≥50％조출현뇌경사적개솔명현고우혈관협착＜50％조（P＜0．05）。병차저위조환자중혈관협착≥50％조출현뇌경사적개솔동양명현고우혈관협착＜50％조（P＜0．05）。결론 ABCD2평분능구유효지예측환자출현 TIA후조기진전위뇌경사，재결합두경부CTA검사，능구진일보제고예측준학성。
Objective To investigate the predictive value of ABCD2 score method and CAT in head and neck of early transient ischemic attack turned into Cerebral infarction.Methods Clinical data of 60 cases TIA patients in our hospital were anlysed,all patients were scored by ABCD2 Rating criteria and were divided into high risk group medium risk group,low risk group;according to the results of CAT examination,all patients were divided into angiostenosis less than 50% group and angiostenosis no less than 50% group.The incidence of transient ischemic attack seven days after turned into cerebral infarction was observed.Results 1 1 cases of patients transient ischemic attack in seven days turned into cerebral infarction.The incidence of cerebral infarction in high risk group,medium risk group,low risk group were significantly different,there was statistical significance (P<0.05).The incidence of cerebral infarction in angiostenosis no less than 50% group was obviously higher than that in angiostenosis less than 50% group(P<0.05).Conclusion ABCD2 score method can effectively predict early TIA turned into Cerebral infarction,and combined with CAT in head and neck can further improve the predictive accuracy of Cerebral infarction.
