摘要
目的:采用PESI评分系统及WELLS评分系统,对收集的急性肺栓塞患者或疑似患者进行评分,探讨PESI评分系统、WELLS评分系统对评估急性肺栓塞患病风险及预后的临床应用价值。方法:本研究91例病例来自昆明医科大学第一附属医院呼吸科,时间从2009年6月-2012年6月,将所有病例按确诊分为肺栓塞组和非肺栓塞组,收集患者入院时年龄、性别、心率、血压、体温、神志、呼吸频率、血氧饱和度、相关的心肺慢性疾病、是否合并肿瘤及下肢深静脉血栓以及实验室检查、影像学检查等信息,追踪患者病情发展及结局。对入组患者进行PESI评分和WELLS评分,分析两种评分系统对肺栓塞患者患病风险评估及预后判断的指导作用。结果:两组间WELLS评分存在差异,肺栓塞组WELLS评分较非肺栓塞组高。将60例确诊患者PESI评分分级并追踪患者预后,运用Ordinal回归分析,结果显示组间患者生存时间存在差异,P<0.05。结论:WELLS评分系统对疑似肺栓塞患者诊断有较好的指导作用,但对患者预后判断无明显指导意义;PESI分级能较好判断患者病情危重程度,PESI分级越高,患者预后越差。
To access the value of PESI score and the WELLS score on the patients with acute pulmonary embolism. Methods：This research study from 91 cases of kunming medical university first affiliated hospital respiratory medicine,time from June 2009--June 2012, all cases diagnosed by divided into pulmonary embolism group and the group of patients with pulmonary embolism, collect on age, gender, heart rate, blood pressure, body temperature, con- sciousness, breathing rate, blood oxygen saturation,related cardiopulmonary chronic disease,whether merger tumor and lower limb deep vein thrombosis and laboratory and imaging examination, etc information, tracking patients after dis- charge development condition and the final outcome. In this group of patients with PESI score and WELLS score, anal- ysis of two scoring system for patients with pulmonary embolism risk assessment and prognostic guidance. Results：Be- tween the two groups differences between WELLS score, pulmonary embolism group WELLS score more than pulmo- nary embolism group high. Will sixty cases diagnosed patients PESI rating and the prognosis of patients with tracking, using Ordinal regression analysis, the results showed that among groups patients survival time differences, P〈0. 05. Conclusion. WELLS rating system for patients with suspected pulmonary embolism diagnosis has good guidance func- tion, but the judge the prognosis of patients with no obvious significance; PESI classification can better judgment with a critical level, the higher the PESI classification, the worse the prognosis of patients.
出处
《医学理论与实践》
2013年第11期1405-1407,1437,共4页
The Journal of Medical Theory and Practice
