关于CHADS2、CHA2DS2-VASc、Essen与ABCD2量表评分要素的解析与建议.pdf

·争喧-4t·1． 要素的解析与建议 于永鹏1，2 【摘要】 本文就临床实践中常用的缺血性卒中风险评定量表如CHADs2、CHA2DS2-VAsc、 Essen与ABCI)2等量表进行分析并指出其存在的局限性，对不同量表中潜在的重要评分要素给出推 测和推荐，提出：与血管狭窄程度因素相比，动脉内膜易损病变对卒中复发风险的影响是更为广泛和 深远的。后者可能作为一个重要的、不可忽视的评分要素参与不同量表的改良和完善，从而有助于指 导临床实践辩证地运用量表和指南证据进行个体化诊疗。 【关键词】卒中；量表；动脉内膜易损病变；血管狭窄 Yu onthescalesof andABCIY2 and CHAD$2，CHA2DS2-VASe，融n lroposarere减lillg Center A．ffg谊tedWendeag College， Yongpeng。．-．1J脚。咖mofNeurology，the Hospital矿醌洳昭Medical Weihai 264400，China；2MedicalCollegeofQiredadUniversity，Q蛐266021，China gmail：yypen96688@126．co?n, article the scales [Abstract】Thismainlyanalyzedrating such龉CHADS2，CHA2DS2-VASc，Essen andABCD2 usedinclinical forischemicstrokeriskand outtheirlimitations．The commonly practice pointed Scaleswere andrecommended．Itthat elementsindifferent potentialkeyscoring speculated pointedcompared with intimalvulnerablelesionontheriskofstroke factorofvascularstenosis effectof degree，the artery ieclllTeflP沱becametnoreextensiveand be tobe mayregarded鸽all ignoredscoring profound．It important，not inthe ofdifferentscales．Thusthedialecticaluseofscaleand element，whichparticipatedimprovement evidencecould to clinical towardtothe state—individualizationof guidelines help gIlide practice highest andtreatment． diagnosis