GRACE评分对不同证型胸痹心痛患者死亡率的预测价值

GRACE Risk Score Predictive Value for Mortality in Patients with Different Syndromes of Chest Stuffiness and Pains

目的探讨全因死亡GRACE预测积分对不同中医证型胸痹心痛患者的死亡率及再入院率的预测价值。方法收集我院胸痹心痛患者361例,利用全因死亡GRACE预测积分计算出不同证型患者的预测死亡概率;同时对患者住院期间及6个月内死亡情况进行随访追踪。结果预测不同证型住院死亡概率及6个月内死亡概率或再发心梗概率的大小排序为:阳气虚证>阴血虚证>气滞血瘀证>痰浊闭塞证。各组间随访结果与GRACE预测死亡概率结果相一致。结论全因死亡GRACE预测积分能很好地预测中医不同证型的胸痹心痛患者的死亡率和再住院率。

Objective： To explore GRACE risk score predictive value for mortality in patients with different syndromes of Chest Stuffiness and Pains.Methods： Each patient＇s risk of death prediction were calculated in according to all-cause death GRACE prediction inegral model who were received by our department with Chest Stuffiness,with the number of 360.And the hospital mortality and six months of the mortality of patients were tracted.Results： Prediction of in-hospital mortality and six months of mortality or recurrent myocardial infarction probability,sort by： yang-qi deficiency type yin-of blood deficiency type qi stagnation with blood stasis type phlegm stagnation type.Follow-up results was consistent with the results of GRACE risk score prediction mortality.Conclusion： GRACE risk score can be a good predictor of mortality of different TCM syndromes of Chest Stuffiness and Pains patients.