【摘要】：目的分析Essen卒中風(fēng)險量表(ESRS)評分聯(lián)合腦動脈造影對短暫性腦缺血發(fā)作(TIA)患者腦梗死的預(yù)測價值。方法選取2015年棗莊市臺兒莊區(qū)中醫(yī)院收治的TIA患者130例,根據(jù)ESRS評分分為高危者13例和低危者117例,根據(jù)彌散加權(quán)成像(DWI)檢查結(jié)果分為DWI正常者67例和DWI異常者63例,根據(jù)三維時間飛躍法磁共振血管造影(MRA)檢查結(jié)果分為顱內(nèi)動脈狹窄率50%者62例和顱內(nèi)動脈狹窄率≥50%者68例。比較各組發(fā)病率2天、第10天、第30天腦梗死發(fā)生情況,繪制受試者工作特征曲線(ROC曲線)以評價ESRS評分聯(lián)合腦動脈造影對TIA患者腦梗死的預(yù)測價值。結(jié)果高危者發(fā)病第2天、第10天、第30天腦梗死發(fā)生率均高于低危者(P0.05);DWI異常者發(fā)病第2天、第10天、第30天腦梗死發(fā)生率均高于DWI正常者(P0.05);顱內(nèi)動脈狹窄率≥50%者發(fā)病第2天、第10天、第30天腦梗死發(fā)生率均高于顱內(nèi)動脈狹窄率50%者(P0.05)。繪制ROC曲線發(fā)現(xiàn),ESRS評分聯(lián)合腦動脈造影預(yù)測TIA患者發(fā)病第2天、第10天、第30天腦梗死的曲線下面積(AUC)分別高于ESRS評分(P0.05)。結(jié)論 ESRS評分聯(lián)合腦動脈造影能進(jìn)一步提高預(yù)測TIA患者腦梗死的準(zhǔn)確率,具有較高的預(yù)測價值。
[Abstract]:Objective to evaluate the predictive value of Essen Stroke risk scale (ESRS) score combined with cerebral arteriography in the prediction of cerebral infarction in patients with transient ischemic attack (TIA). Methods one hundred and thirty patients with TIA were selected from traditional Chinese Medicine Hospital of Taierzhuang District of Zaozhuang City in 2015. According to ESRS score, 13 cases were at high risk and 117 cases were at low risk. According to the results of diffusion-weighted (DWI), 67 cases of normal DWI and 63 cases of abnormal DWI were divided into two groups. According to the results of (MRA), 62 cases of intracranial artery stenosis rate and 68 cases of intracranial artery stenosis rate 鈮，

本文編號：2217277