CAJ | 학술논문

目的：ABCD2评分是一种评估短暂性脑缺血发作（ transient ischemic attack，TIA）患者发生急性脑卒中风险的预测性评分，本研究探讨ABCD2评分对头晕患者脑血管疾病的诊断价值。方法：选择头晕、眩晕以及平衡障碍患者为研究对象，根据病因把患者分为脑血管疾病组（包括TIA、急性脑梗死、脑出血）和非脑血管疾病组，对所有入选患者利用ABCD2评分进行评分，并比较两组的临床特点。结果：本研究共选择828名头晕患者，其中脑血管疾病组有46名患者。与非脑血管疾病患者比较，脑血管疾病患者中高血压病、冠心病、房颤及既往存在脑卒中的发病率明显增高，且入院时脑血管疾病患者的ABCD2评分显著高于对照组。结论：脑血管疾病患者ABCD2评分高于非脑血管疾病患者的原因是由于ABCD2评分中包含诊断性信息，可用于鉴别脑血管疾病及非脑血管疾病。
목적：ABCD2평분시일충평고단잠성뇌결혈발작（ transient ischemic attack，TIA）환자발생급성뇌졸중풍험적예측성평분，본연구탐토ABCD2평분대두훈환자뇌혈관질병적진단개치。방법：선택두훈、현훈이급평형장애환자위연구대상，근거병인파환자분위뇌혈관질병조（포괄TIA、급성뇌경사、뇌출혈）화비뇌혈관질병조，대소유입선환자이용ABCD2평분진행평분，병비교량조적림상특점。결과：본연구공선택828명두훈환자，기중뇌혈관질병조유46명환자。여비뇌혈관질병환자비교，뇌혈관질병환자중고혈압병、관심병、방전급기왕존재뇌졸중적발병솔명현증고，차입원시뇌혈관질병환자적ABCD2평분현저고우대조조。결론：뇌혈관질병환자ABCD2평분고우비뇌혈관질병환자적원인시유우ABCD2평분중포함진단성신식，가용우감별뇌혈관질병급비뇌혈관질병。
Objective:The ABCD2 score has been used to predict subsequent risk of acute stroke in patients with transient ischemic attack (TIA).This is because the ABCD2 score can distinguish TIA from other diseases.The thesis is to study whether this score can identify cerebrovas-cular disease in patients with dizziness.Methods: Patients with dizziness,vertigo or imbalance were divided into the cerebrovascular disease group ( including TIA, acute cerebral infarction and cerebral hemorrhage ) and the noncerebrovascular disease group based on the different causes of dis-ease.All the selected patients were graded by using the ABCD2 score , with their clinical characteristics compared between the two groups.Result:828 patients with dizziness were chosen in this study , 46 of whom belonged to the cerebrovascular disease group .Compared with the patients in the noncerebrovascular disease group, those with cerebrovascular disease more frequently had hypertension, coronary artery disease , atrial fibrillation and previous stroke.Besides, the scores of Patients with cerebrovascular disease on admission were higher than those with noncerebrovascular dis-ease.Conclusion:The reason why the ABCD2 scores of the patients with erebrovascular disease are higher than those with noncerebrovascular dis-ease is that ABCD2 score contains significant diagnostic information , which can be used to distinguish cerebrovascular disease from noncerebrovas-cular disease.