[1]陈娟,杜春华,陶景山,等.MSCTA联合ABCD2评分对短暂性脑缺血发作早期进展为脑梗死的预测价值[J].卒中与神经疾病杂志,2018,25(05):525-528.[doi:10.3969/j.issn.1007-0478.2018.05.008]
　Chen Juan*,Du Chunhua,Tao Jingshan,et al.The prognostic value of MSCTA combined with ABCD2 score in the early prognosis of transient ischemic attack[J].Stroke and Nervous Diseases,2018,25(05):525-528.[doi:10.3969/j.issn.1007-0478.2018.05.008]
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MSCTA联合ABCD2评分对短暂性脑缺血发作早期进展为脑梗死的预测价值()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第25卷
期数:
2018年05期
页码:
525-528
栏目:
论 著
出版日期:
2018-10-26

文章信息/Info

Title:
The prognostic value of MSCTA combined with ABCD2 score in the early prognosis of transient ischemic attack
文章编号:
1007-0478(2018)05-0525-04
作者:
陈娟; 杜春华; 陶景山; 梁祝红; 刘德胜; 许虎成
224500 江苏省盐城市滨海县人民医院神经内科(陈娟 刘德胜 许虎成),影像科/介入科[杜春华(通信作者)],影像科(陶景山 梁祝红)
Author(s):
Chen Juan*; Du Chunhua; Tao Jingshan; et al.
*Department of Neurology,Binhai People's Hospital,Yancheng Jiangsu 224500
关键词:
MSCTA ABCD2评分 短暂性脑缺血发作 预后 预测价值
Keywords:
MSCTA ABCD2 score Transient ischemia The prognosis Predictive value
分类号:
R743.31
DOI:
10.3969/j.issn.1007-0478.2018.05.008
文献标志码:
A
摘要:
目的 探究MSCTA联合ABCD2评分对短暂性脑缺血发作早期进展为脑梗死的预测价值。方法 选取2016年6月-2017年6月本院收治的短暂性脑缺血发作(TIA)患者共92例,对所有患者行MSCTA检查以及采用ABCD2评分进行危险分层与评估,观察不同动脉狭窄程度与不同ABCD2评分下TIA患者脑梗死的发生率以及MSCTA联合ABCD2评分对TIA患者早期进展为脑梗死的预测价值。结果 轻度、中度动脉狭窄患者在1周内脑梗死的发生率明显低于重度狭窄患者(P<0.05); ABCD2评分低危组与中危组患者在1周内脑梗死的发生率显著低于高危组(P<0.05); MSCTA联合ABCD2评分预测脑梗死的特异度、灵敏度、准确度、阳性预测值和阴性预测值均明显高于单独MSCTA与ABCD2评分(P<0.05)。结论 MSCTA联合ABCD2评分对短暂性脑缺血发作患者早期进展为脑梗死具有较高的预测价值。
Abstract:
ObjectiveTo explore the predictive value of MSCTA combined with ABCD2 score for the early prognosis of transient ischemic attack.Methods Form June 2016 to June 2017 a total of 92 cases of patients with transient ischemic attack(TIA)were collected in our hospital,the MSCTA was used in all patients and risk stratification and assessment were made by ABCD2 score,and the incidence of cerebral infarction was observed for TIA patients under different degree of carotid stenosis and predictive value of ABCD2 score and MSCTA combined ABCD2 score on early cerebral infarction was made in patients with TIA.Results the incidence of cerebral infarction in patients with mild and moderate carotid artery stenosis was significantly lower than that in patients with severe stenosis(P<0.05).The incidence of cerebral infarction was significantly lower in the patients with ABCD2 score in the low-risk group and the middle critical group than that in the high-risk group(P<0.05).MSCTA and ABCD2 score were used to predict the specificity,sensitivity,accuracy,positive predictive value and negative predictive value of cerebral infarction,which were significantly higher than that of single MSCTA or ABCD2 score(P<0.05).Conclusion MSCTA combined ABCD2 score had higher predictive value early in patients with transient ischemic attack into cerebral infarction.

参考文献/References:

[1] 杜春华,陈娟,梁祝红,等.联合应用ABCD2评分和头颈部CTA对TIA患者短期预后的预测价值[J].江苏医药,2017,43(7):524-526.
[2] 冯兆章,张远鸿,腾录霞,等.CT血管造影检查联合ABCD2评分对短暂性脑缺血发作后早期脑梗死的预测价值研究[J].实用心脑肺血管病杂志,2015,5(1):110-112.
[3] 周发明,魏麓云.ABCD2评分量表对短暂性脑缺血发作近期预后的评价[J].中国现代神经疾病杂志,2009,9(5):460-463.
[4] Perry JJ,Sharma M,Sivilotti ML,et al.Prospective validation of the ABCD2 score for patients in the emergency department with transient ischemic attack[J].CMAJ,2011,183(10):1137-1145.
[5] 赵君,沈燕萍.ABCD2分层联合CT血管成像对短暂性脑缺血发作早期转化脑梗死的预测价值[J].心脑血管病防治,2016,16(2):158-159.
[6] 魏衡,余勇飞,尹虹祥,等.hs-CRP联合ABCD2评分预测短暂性脑缺血发作后短期发生脑梗死的风险[J].中国神经免疫学和神经病学杂志,2014,21(1):28-31,35.
[7] 李惠允,李亚斐.ABCD2评分联合血清高敏C反应蛋白检测对短暂性脑缺血发作患者发生脑梗死风险的预测价值[J].疑难病杂志,2014,8(6):570-572.
[8] Zhong F,Song S,Wang L,et al.Comparison and improvement of in predicting the short-term prognosis of transient ischemic attackbetween ABCD and ABCD2 scores[J].Chinese Journal of Geriatrics,2015,32(10):1047-1050.
[9] 李维帅,谭斐.评价ABCD2评分+颈动脉硬化程度评分预测短暂性脑缺血发作后早期(7d)卒中风险价值[J].临床与病理杂志,2016,36(2):99-104.
[10] 徐方元,陈爽,秦少华,等.多层螺旋CT血管成像对颈动脉狭窄性短暂性脑缺血发作的诊断[J].实用放射学杂志,2011,27(11):1644-1647.
[11] 郭应林,刘白鹭.MSCTA在评价颈动脉内膜斑块性TIA中的作用[J].临床放射学杂志,2008,27(11):1600-1603.
[12] 申敬顺,韩杰,王莹,等.多层螺旋CT血管成像在椎基底动脉短暂性脑缺血发作诊断中的价值[J].卒中与神经疾病,2006,13(2):87-89.
[13] 钟井松,沈海林,丁乙,等.头颈联合64层CT血管造影在TIA中的应用[J].中国临床医学影像杂志,2010,21(7):496-499.
[14] Raser JM,Cucchiara BL.Modifications of the ABCD2 score do not improve the risk stratification of transient ischemic attack patients[J].J Stroke Cerebrovasc Dis,2012,21(6):467-470.
[15] 孙静华,刘海霞,耿旭,等.头颈动脉狭窄联合ABCD2评分对TIA后脑梗死的预测价值[J].中国临床医学影像杂志,2012,23(7):492-494.

更新日期/Last Update: 2018-10-20