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目的分析短暂性脑缺血发作(TIA)发展至脑梗死的相关因素。方法回顾性分析60例住院的TIA发展至脑梗死患者的临床资料,其中男36例(60.0%),女24例(40.0%),年龄44～87岁,平均(67±12)岁。本组患者最近1次TIA发展至脑梗死均在7d内发生。结果按照“ABCD”评分1～2分、3～4分和5～6分为3组,进行脑梗死发病时血压、血糖、血脂和表达患者残损程度的NIHSS评分的比较,显示3组之间各项指标的差异无统计学意义(P>0.05);颈内动脉系统TIA发生脑梗死和椎-基底动脉系统TIA发生脑梗死之间的性别、年龄、颈动脉斑块、脑梗死家族史、入院时的NIHSS评分的差异无统计学意义(P>0.05)。结论“ABCD”评分法虽然能够识别TIA后有无近期脑梗死的危险,但是该评分的高低可能与血压、血糖、血脂和表达患者残损程度的NIHSS评分无直接相关;颈内动脉系统和椎-基底动脉系统之间某些脑梗死相关因素的差异可能没有明显的差别。
Objective To analyze the related factors of developing transient ischemic attack (TIA) to cerebral infarction. Methods The clinical data of 60 hospitalized TIA patients with cerebral infarction were retrospectively analyzed. There were 36 males (60.0%) and 24 females (40.0%), ranging in age from 44 to 87 years (mean, 67 ± 12). The recent development of this group of patients TIA to cerebral infarction occurred within 7d. Results According to the “ABCD” score of 1 to 2, 3 to 4 and 5 to 6 were divided into 3 groups, the onset of cerebral infarction blood pressure, blood glucose, blood lipids and expression of the degree of impairment of NIHSS score comparison shows that 3 groups (P> 0.05). The gender, age, carotid artery plaque and cerebral infarction family between cerebral infarction caused by TIA of the internal carotid artery system and TIA of the vertebrobasilar artery system There was no significant difference in NIHSS scores between admission and admission (P> 0.05). Conclusion Although the ABCD score method can identify the risk of recent cerebral infarction after TIA, the score may not be directly related to the NIHSS score of blood pressure, blood glucose, blood lipids and the degree of impairment of patients. The internal carotid artery system and There may be no significant difference in the factors associated with certain cerebral infarctions between the vertebrobasilar systems.