文章摘要
刘美真,吴擎,周蓉靖,吴王芳,杨峻皓.ABCD评分法预测神经内科头晕患者发生缺血性脑卒中风险[J].中国临床保健杂志,2020,23(5):692-694.
ABCD评分法预测神经内科头晕患者发生缺血性脑卒中风险
The values of ABCD score in the prediction of ischemic stroke in patients with vertigo in neurology department
投稿时间:2020-05-15  
DOI:10.3969/J.issn.1672-6790.2020.05.028
中文关键词: 卒中  头晕  诊断技术和方法  危险因素
英文关键词: Stroke  Dizziness  Diagnostic techniques and procedures  Risk factors 〖FL
基金项目:浙江省医药卫生科技计划项目(2020KY818);浙江省宁波市医疗卫生品牌学科建设项目(PPXK2018-07)
作者单位E-mail
刘美真 浙江中医药大学附属宁波市中医院脑病科,宁波 315010 r156475@163.com 
吴擎 浙江宁波市第一医院神经内科  
周蓉靖 浙江中医药大学附属宁波市中医院脑病科,宁波 315010  
吴王芳 浙江中医药大学附属宁波市中医院脑病科,宁波 315010  
杨峻皓 浙江中医药大学附属宁波市中医院脑病科,宁波 315010  
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中文摘要:
      目的 分析ABCD评分法对神经内科头晕患者发生缺血性脑卒中的诊断预测价值。方法 选取浙江中医药大学附属宁波市中医院脑病科2018年4月至2019年12月收治的神经内科头晕患者280例,就诊时根据ABCD评分法将患者分为高危组、中危组与低危组,统计各组别缺血性脑卒中的发生情况,并对缺血性脑卒中、非缺血性脑卒中患者的基本资料进行分析。结果 280例患者中明确诊断为缺血性脑卒中患者共计72例,占比25.71%。高危组、中危组、低危组缺血性脑卒中发生率依次降低,组间差异有统计学意义(P<0.05)。缺血性脑卒中组合并高血压患者、有吸烟史者、有脑卒中病史者等占比及ABCD评分、年龄明显高于非缺血性脑卒中组(P<0.05)。经多因素分析,ABCD评分、吸烟史、脑卒中病史是缺血性脑卒中发生的危险因素(P<0.05)。结论 ABCD评分法能够对头晕患者发生缺血性脑卒中进行预测,有助于头晕患者及时获得针对性治疗。
英文摘要:
      Objective To analyze the value of ABCD score in the prediction of ischemic stroke in vertigo patients of neurology department.Methods 280 patients with vertigo in neurology department of Ningbo Hospital of Traditional Chinese Medicine from April 2018 to December 2019 were selected.According to the ABCD scoring method,the patients were divided into high-risk group,medium risk group and low-risk group.The occurrence of ischemic stroke in each group was statistically analyzed,and the basic data of ischemic stroke and non ischemic stroke were analyzed.Results Among the 280 patients,72 were definitely diagnosed as ischemic stroke,accounting for 25.71%.According to the score of ABCD,the incidence of ischemic stroke in high risk group,middle risk group and low risk group decreased in turn,with significant difference between the groups (P<0.05).The proportion of patients with hypertension,smoking history and stroke history in the ischemic stroke group,as well as the ABCD score and age were significantly higher than those in the non ischemic stroke group (P<0.05).The risk factors of ischemic stroke were ABCD score,smoking history and stroke history (P<0.05).Conclusion ABCD score can predict the occurrence of ischemic stroke in patients with vertigo.It is helpful for the patients with vertigo to know the condition in time and get targeted treatment.
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