ABCD2评分对短暂性脑缺血发作后卒中风险的评估

摘要

Objective To explore the value of ABCD2 score in predieting cerebral infarction of transient ischemic attack patients within 7 days. Methods 110 TIA patients were evaluated according to ABCD2 criteria. The occurrence of cerebral infarction was observed in 7 days. Results The 7-day risks of stroke in the patients were 3%with a low ABCD2 score(0~3), 32%with the moderate score(4~5), and 64%with the high score (6~7)(P<0.05). Conclusions The predictive accuraey of ABCD2 is significantly high, ABCD2 criteria is effeetive to prediet the occurrence of cerebral infarction in short-term of TIA.%目的：探讨ABCD2评分对短暂性脑缺血发作后7d内发生脑梗死的预测价值。方法按照ABCD2评分标准，进行110例TIA患者的评分并观察7d内脑梗死的发生率。结果110例TIA患者中低危（0～3分）、中危（4～5分）和高危（6～7分）组7d内发生脑梗死的比例分别为3%、31%和64%（P＜0.05）。结论 ABCD2评分法的预测价值高，是临床上预测TIA短期进展为脑梗死的一种有效方法。