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目的 :探讨用ABCD3-I评分法预测短暂性脑缺血发作发展为早期脑梗死风险的临床效果。方法 :选取2011年9月~2014年9月在日照市中医医院脑病一科和脑病二科进行住院治疗的180例TIA患者作为研究对象。使用ABCD3-I评分法对这些患者进行评分,按照其评分将他们分为低危组、中危组和高危组,并预测其在短暂性脑缺血发作后的7天内和90天内发生早期脑梗死的几率。采用logistic回归模型分析这些患者发生早期脑梗死的相关危险因素。结果 :高危组患者在病情发作后的7天内和90天内发生早期脑梗死的几率明显高于低危组患者和中危组患者,差异显著(P均<0.01),有统计学意义。TIA患者在病情发作后的7天内发生早期脑梗死的相关危险因素有TIA症状持续的时间≥60分钟、发生双重TIA、DWI显示为高信号。TIA患者在病情发作后的90天内发生早期脑梗死的相关危险因素有单侧的肢体乏力、发生双重TIA、DWI显示为高信号、同侧颈动脉狭窄的面积≥50%。结论 :用ABCD3-I评分法预测TIA患者发生早期脑梗死风险的效果显著,患者的评分越高,其发生早期脑梗死的几率越高,同时对TIA患者进行MR检查、DWI检查和血管影像学检查,可提高对其评估的准确率。
Objective: To investigate the clinical effect of using ABCD3-I score method to predict the development of transient ischemic attack as the risk of early cerebral infarction. Methods: A total of 180 TIA patients were enrolled in the First Department of Encephalopathy and Encephalopathy from September 2011 to September 2014 in Rizhao City Hospital of Traditional Chinese Medicine. These patients were scored using the ABCD3-I scoring system and were divided into low-risk, mid-risk and high-risk groups according to their ratings and predicted early brain development within 7 days and 90 days after transient ischemic attack Infarct probability. Logistic regression models were used to analyze the associated risk factors for these patients with early cerebral infarction. Results: The risk of early cerebral infarction in high risk group was significantly higher than that in low risk group and intermediate risk group within 7 days and 90 days after onset of illness (all P <0.01), and the difference was statistically significant. The associated risk factors for early cerebral infarction in TIA patients within 7 days after the onset of symptoms were TIA symptoms lasting more than 60 minutes, double TIA occurring, and DWI showing a high signal. The associated risk factors for early cerebral infarction in TIA patients within 90 days of the onset of symptoms were unilateral limb weakness, double TIA, high DWI and ≥50% ipsilateral carotid stenosis. CONCLUSIONS: The ABCD3-I scoring method is used to predict the risk of early cerebral infarction in patients with TIA. The higher the score of patients, the higher the risk of early cerebral infarction. The MR imaging, DWI and angiography Check to improve the accuracy of their assessment.