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目的用ABCD2评分与ESSEN评分评估短暂性脑缺血发作(TIA)后的再发风险。方法应用ABCD2评分和与ESSEN评分对168例门诊和住院的TIA患者进行评分,观察短暂性脑缺血发作患者7 d和90 d内TIA再发的情况。结果短暂性脑缺血发作后7 d内TIA再发率为14.3%,90 d内TIA再发率为18.4%,ABCD2评分预示7 d TIA再发风险的敏感性为66.7%,特异性为54.2%,ESSEN评分的敏感性为75.0%,特异性为59.0%;ABCD2评分预示90 d脑卒中再发风险的敏感性为54.8%,特异性为56.2%,ESSEN评分的敏感性为74.2%,特异性为60.6%。结论 ABCD2评分和ESSEN评分都能预测短暂性脑缺血发作后的再发风险,但特异性和敏感性都不高。
Objective To assess the risk of recurrence after transient ischemic attack (TIA) using ABCD2 score and ESSEN score. Methods A total of 168 outpatients and hospitalized TIA patients were scored by ABCD2 score and ESSEN score to observe the recurrence of TIA within 7 days and 90 days in patients with transient ischemic attack. Results The recurrence rate of TIA within 7 days after transient ischemic attack was 14.3%, and the recurrence rate of TIA within 90 days was 18.4%. The ABCD2 score indicated a sensitivity of 66.7% and a specificity of 54.2 %. The sensitivity and specificity of ESSEN score were 75.0% and 59.0% respectively. The ABCD2 score indicated that the sensitivity and specificity of ESSEN score was 54.8%, 56.2% and 74.2% respectively at 90 days. Sex is 60.6%. Conclusion Both ABCD2 score and ESSEN score can predict the recurrence risk after transient ischemic attack, but the specificity and sensitivity are not high.