短暂性脑缺血发作患者ABCD2评分及卒中发生率及颅内血管狭窄相关性探究.doc

短暂性脑缺血发作患者ABCD2评分及卒中发生率及颅内血管狭窄相关性探究【摘要】 目的 评价短暂性脑缺血发作（TIA）患者ABCD2评分与卒中发生率及颅内血管狭窄之间的关系。方法 回顾性研究84例TIA患者ABCD2评分和颅脑磁共振血管成像（MRA）影像资料，根据ABCD2评分分为评分≥4分组（中高危组）和＜4分组（低危组）；根据MRA评估分为脑血管狭窄≥50%组和狭窄＜50%组。评价ABCD2评分与脑血管狭窄之间的相关性。结果 血管狭窄≥50%组与血管狭窄＜50%组比较，ABCD2评分≥4分的比率增高；既往有脑卒中病史的患者比率增高；脑血管狭窄≥50%组与脑血管狭窄＜50%组比较，前者TIA后2 d内的脑卒中发生率明显增高。结论 ABCD2评分≥4分MRA显示颅内血管狭窄率高，既往有脑卒中病史的TIA患者颅内血管狭窄率高，颅内血管狭窄≥50%组TIA后2 d内发生卒中的风险增高。 【关键词】 短暂性脑缺血发作； ABCD2评分； 磁共振血管成像 Study of the relationship between cerebrovascular stenosis plus the rate of stroke and ABCD2 score in transient ischemic attack patients LI Zhi-hui, YU Hai-ning. The NO.3 Department of Neurology, WeiFang Brain Hospital, WeiFang 261021, China 【Abstract】 Objective To evaluate the relationship between ABCD2 score and cerebrovacular stenosis of patients plus the rate of stroke with transient ischemic attack（TIA）.Methods Retrospectively reviewed the medical records of 84 cases who were examined by the magnetic resonance angiography（MRA） with TIA. All the cases were divided into 2 groups according to whether cerebrovascular vascular stenosis ≥50% or not, and divided into 2 groups according to whether ABCD2 score ≥4 point or not. The relationship between ABCD2 score and cerebrovaculare vascular stenosis was analyzed.Results The group stenosis ≥50% contained more cases whose ABCD2 score ≥4 compared with the group stenosis ＜50%. The group stenosis ≥50% contained more cases who had stroke history than those in the group stenosis ＜50%.The stroke within 2 days after TIA is higher in group cerebrovascular stenosis ≥50% than that in group stenosis ＜50%.Conclusion The patients with ABCD2 score ≥4 show higher rate of cerebrovascular stenosis. Patients with previous stroke undergo a high rate of cerebrovascular vascular stenosis. The stroke within 2 days after TIA is higher in patients with cerebrovascular stenosis ≥50%. 【Key words】 Ischemic attack; Transient; ABCD2 score; Magnetic resonance angiography 短暂性脑缺血发作（TIA）是脑卒中的超级预警信号，TIA后年脑卒中风险为1%～15%，9