急性轻型卒中早期ABCD3-I评分与病情转归的关系

发布时间：2018-04-06 21:41

本文选题：轻型卒中　切入点：ABCD-I评分　出处：《实用医学杂志》2016年13期

【摘要】：目的:观察ABCD3-I评分在预测急性轻型卒中病情转归中的价值。方法:分别采用ABCD、ABCD2、ABCD3、ABCD3-I与ESSEN评分标准对255例轻型卒中患者进行评分,记录性别、年龄、梗死部位、高血压、糖尿病、心脏及血管疾病、临床症状、责任颈动脉狭窄、DWI异常信号等与各评分相关的因素,并观察患者预后和早期加重的情况。结果:255例患者中,90 d内转归不良的患者48例。单因素分析显示转归不良组与转归良好组间高血压、糖尿病、心脏及血管疾病、临床症状、责任颈动脉狭窄、DWI异常信号差异存在统计学意义(P0.05)。ABCD、ABCD2、ABCD3、ABCD3-I与ESSEN评分预测轻型卒中转归不良的风险的ROC曲线下面积(AUC)分别为0.791 0、0.798 3、0.827 9、0.930 0和0.735 9。不同严重程度ABCD3-I评分组转归不良和早期进展差异有统计学意义。结论:ABCD3-I评分法可以预测急性轻型卒中的转归,为个性化治疗提供了新的工具。
[Abstract]:Objective: to observe the value of ABCD3-I score in predicting the outcome of acute mild stroke.Methods: two hundred and fifty-five patients with mild stroke were assessed by ABCD2ACD2ACD3ACD3-I and ESSEN, and their clinical symptoms were recorded, such as sex, age, location of infarction, hypertension, diabetes, heart and vascular diseases.Responsible for carotid stenosis and DWI abnormal signal and other factors related to each score, and to observe the prognosis and early exacerbation of the patients.Results of 255 cases, 48 cases were ill within 90 days.Univariate analysis showed that hypertension, diabetes, heart and vascular diseases, clinical symptoms, and clinical symptoms were found between the bad group and the good group.There were significant differences in the outcome and early progression in ABCD3-I score group with different severity.Conclusion the ratio of ABCD 3-I score can predict the outcome of acute mild stroke and provide a new tool for individualized treatment.
【作者单位】：苏州大学附属第一医院神经内科;
【基金】：苏州市科技计划项目(编号:SYS201216)
【分类号】：R743.3

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