| 储爱琴,程兰,许庆珍,张海玲.两种血栓风险评估模型筛查住院患者深静脉血栓形成的效果[J].中国临床保健杂志,2020,23(2):247-251. |
| 两种血栓风险评估模型筛查住院患者深静脉血栓形成的效果 |
| The screening effect of two thrombus risk assessment models on deep venous thrombosis in hospitalized patients |
| 投稿时间：2019-10-10 |
| DOI：10.3969/J.issn.1672-6790.2020.02.027 |
| 中文关键词: 静脉血栓形成 风险评估与减低 预测 |
| 英文关键词: Venous thrombosis Risk evaluation and mitigation Forecasting 〖FL |
| 基金项目:国家临床重点专科建设项目(国卫办医函〔2018〕292号) |
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| 中文摘要: |
| 目的 探讨Caprini风险评估模型与Autar血栓风险评估量表在住院患者深静脉血栓形成中的筛查效果。方法 采用回顾性病例对照研究,选取确诊为深静脉血栓的98例患者为病例组,并按照1∶2的匹配原则选取196例同期入住同一科室的非深静脉血栓患者为对照组。同时采用Caprini风险评估模型及Autar血栓风险评估量表对两组患者进行深静脉血栓风险评估,比较不同评估模型的筛查效果,并使用ROC曲线分析两组模型对住院患者深静脉血栓形成风险的预测价值。结果 两种血栓风险评估模型对病例组患者深静脉血栓风险评估的平均得分均高于对照组,差异有统计学意义(P＜0.05)；Caprini风险评估模型在高危患者的筛出率大于Autar血栓风险评估模型,差异有统计学意义(P＜0.05)；通过ROC曲线下面积的比较发现Caprini风险评估模型曲线下面积大于Autar 血栓风险评估量表,差异有统计学意义(P ＜0.01)。结论 Caprini风险评估模型相较于Autar血栓风险评估模型在临床住院患者深静脉血栓形成的筛查效果更佳。 |
| 英文摘要: |
| Objective To investigate the screening effect of Caprini risk assessment model and Autar thrombosis risk assessment scale on deep venous thrombosis in hospitalized patients.Methods A retrospective case control study was used to select 98 patients diagnosed with deep venous thrombosis in the hospital as the case group and 196 patients admitted to the same department at the same time as the control group according to the matching principle of 1∶2.Caprini risk assessment model and Autar thrombus risk assessment scale were used to evaluate the risk of DVT in all patients to compare the screening effect of different assessment models and analyze the predictive value of each model for the risk of DVT in hospitalized patients using ROC curve.Results The average score of the two risk assessment models in the case group was higher than that in the control group and the difference was statistically significant (P<0.05).Caprini risk assessment model in the screening of high-risk patients,the high-risk screening rate was higher than the Autar thrombus risk assessment scale with statistically significant differences (P<0.05).By comparing the area under ROC curve,it was found that the area under the ROC curve of the Caprini risk assessment model was larger than the Autar thrombus risk assessment scale and the difference was statistically significant (P<0.01).Conclusion Compared with Autar thrombus risk assessment scale,the Caprini risk assessment model has a better effect on clinical screening of the risk of deep vein thrombosis in hospitalized patients. |
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