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目的探讨比较ABCD~2、ABCD~3-Ⅰ、ABCD~3-Ⅰ+同型半胱氨酸(HCY)评分法对短暂性脑缺血发作(TIA)患者早期脑卒中风险预测价值。方法 106例TIA患者,按照ABCD~2、ABCD~3-Ⅰ、ABCD~3-Ⅰ+HCY评分标准进行评分,观察TIA后7 d内脑梗死的发生率。结果 ABCD~3-Ⅰ+HCY诊断价值与ABCD~3-Ⅰ比较差异无统计学意义(P>0.05),但均明显大于ABCD~2(P<0.01)。结论 ABCD~3-Ⅰ+HCY评分法比ABCD~2能更有效地预测TIA患者早期发生脑梗死的风险,但并不比ABCD~3-Ⅰ更有意义。
Objective To investigate the predictive value of early stroke risk in patients with transient ischemic attack (TIA) by comparing ABCD ~ 2, ABCD ~ 3-Ⅰ, ABCD ~ 3-Ⅰ + homocysteine (HCY) score. Methods One hundred and six patients with TIA were scored according to ABCD 2, ABCD 3 - Ⅰ and ABCD 3 - Ⅰ HCY scores to observe the incidence of cerebral infarction within 7 days after TIA. Results The diagnostic value of ABCD ~ 3-Ⅰ + HCY was not significantly different from that of ABCD ~ 3-Ⅰ (P> 0.05), but both were significantly higher than that of ABCD 2 (P <0.01). Conclusion ABCD ~ 3-Ⅰ + HCY score method is more effective than ABCD ~ 2 in predicting the risk of early cerebral infarction in patients with TIA, but it is not more meaningful than ABCD ~ 3-Ⅰ.