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目的探讨用ABCD2量表对中风防治门诊短暂性脑缺血发作(TIA)患者进行危险分层并进行强化治疗对90d脑梗死发生的影响。方法依据ABCD2量表评分将患者分为三组,均在中风防治门诊接受相同标准的治疗,观察TIA患者90d内脑梗死的发生率。结果共有653例患者达到了本研究的入组标准,其中639例完成了90d的随访。低危、中危以及高危组的患者分别占32.7%、47.7%和19.6%。所有患者90d内总的脑梗死发生率为2.5%,而使用ABCD2量表预测的结果为9.2%。结论依据ABCD2量表评分对中风防治门诊TIA患者进行分层并及时治疗,可以降低不同危险分层TIA患者90d内脑梗死的发生率。
Objective To investigate the effect of stratified risk stratification and intensive treatment on the incidence of 90-day cerebral infarction in stroke prevention and treatment outpatient transient ischemic attack (TIA) with ABCD2 scale. Methods The patients were divided into three groups according to the ABCD2 scale score. All patients underwent the same standard treatment in stroke prevention and treatment clinics. The incidence of cerebral infarction within 90 days of TIA was observed. Results A total of 653 patients met the inclusion criteria for this study, of whom 639 completed the 90-day follow-up. Patients in low risk, intermediate risk and high risk groups accounted for 32.7%, 47.7% and 19.6% respectively. The overall incidence of cerebral infarction within 90 days was 2.5% in all patients, compared with 9.2% for the ABCD2 scale. Conclusions The stratification and timely treatment of TIA patients with stroke prevention and treatment clinics according to the ABCD2 scale can reduce the incidence of cerebral infarction within 90 days in patients with different risk stratification TIA.