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目的研究ESSEN卒中评分量表联合磁共振MRA检查评价轻型卒中患者发病90d后脑梗死的复发率。方法以该院神经内科2014年1月—2016年9月诊治的135例轻型卒中患者为研究对象,全部患者均完善头颈MRA检查,部分行DSA或CTA进行核实,并进行临床ESSEN卒中量表评分,随访发病后90d脑梗死的复发率。结果轻型卒中患者发病90d后脑梗死复发率为14.1%,其中ESSEN评分≥3分,同时头颈MRA提示颈内动脉或/和颅内动脉有中重度狭窄的患者,脑梗死复发率高达37.5%,二者比较具有明显统计学意义。结论 ESSEN卒中评分量表联合磁共振MRA检查可明显提高对轻型卒中患者发病后90d脑梗死复发率的预测。
Objective To study the ESSEN Stroke Scale and magnetic resonance MRA examination to evaluate the relapse rate of cerebral infarction 90 days after onset of stroke in light stroke patients. Methods A total of 135 patients with light stroke admitted to our hospital from January 2014 to September 2016 were enrolled in this study. All patients underwent head MR MR examination, DSA or CTA in some patients and ESSEN Stroke Scale score The follow-up 90 days after the onset of cerebral infarction recurrence rate. Results The recurrence rate of cerebral infarction was 14.1% in 90 days after onset of stroke in stroke patients. The ESSEN score was ≥3 points. The MRA of head and neck showed that the internal carotid artery and / or intracranial artery had moderate or severe stenosis. The recurrence rate of cerebral infarction was 37.5% Compared with obvious statistical significance. Conclusion ESSEN Stroke Scale combined with magnetic resonance MRA examination can significantly improve the prediction of recurrent rate of cerebral infarction 90 days after onset of light stroke.