ABCD2评分结合hs-CRP对短暂性脑缺血发作后发生脑梗死的评估价值

被引：10

作者：

张东平

李淮玉

机构：

[1] 安徽医科大学附属省立医院神经内科

来源：

中国实用神经疾病杂志 | 2013年 / 16卷 / 22期

关键词：

短暂性脑缺血发作; ABCD2评分; hs-CRP; 脑梗死;

D O I：

暂无

中图分类号：

R743.33 [脑栓塞];

学科分类号：

1002 ;

摘要：

目的探讨短暂性脑缺血发作(transient ischemic attack,TIA)患者ABCD2评分与血清超敏C反应蛋白(hsCRP)水平的关系,及ABCD2评分法预测TIA进展为脑梗死的价值。方法测定79例TIA患者(TIA组)和40例健康体检者(对照组)血清hs-CRP水平,TIA组按ABCD2评分分为高危组、中危组和低危组,比较3组间hs-CRP水平,并观察其2d、7d内脑梗死的发生率。结果 TIA组血清hs-CRP水平高于对照组(P<0.05);高、中、低危组间血清hs-CRP水平差异均有统计学意义(P<0.05),评分≤3分的TIA患者22例,2d、7d发生脑梗死分别为1例(4.5%)、2例(9.1%);评分为4或5分的患者31例,2d、7d进展为脑梗死分别为3例(9.7%)、5例(16.1%);评分≥6分的患者26例,2d、7d进展为脑梗死分别为7例(26.9%)、10例(38.5%)。不同ABCD2评分值的TIA患者,其脑梗死发生率差异均有统计学意义(P均<0.05)。结论 TIA患者ABCD2评分与血清hs-CRP水平关系密切,两者呈正相关。ABCD2评分值不同,脑梗死的发生率不同,分值越高,发生率越高,联合二者更有助于TIA的指导治疗和风险评估。

引用

页码：6 / 8

页数：3

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