肺动脉收缩压对Wells评分低中危的肺栓塞预测价值的评价

Evaluation of the predication value of systolic pulmonary artery pressure in low-intermediate risk groups of Wells scores in pulmonary embolism

目的:探讨肺栓塞临床评分(Wells评分)联合肺动脉收缩压对急性肺栓塞的诊断价值。方法:收集2009年1月-2013年2月可疑肺栓塞患者118例(其中确诊为肺栓塞63例),对其进行回顾性分析,记录患者病史、症状、体征、肺动脉收缩压心脏彩色多普勒结果、临床评分值。结果:肺栓塞可能性大小与肺动脉收缩压增高程度及Wells量表评分高低有关(χ2=34.509、32.780,P<0.05);肺动脉收缩压在Wells量表临床评分低、中危组对肺栓塞的诊断预测价值差异有统计学意义(χ2=7.759、18.061,P<0.05);肺动脉收缩压增高的程度在Wells量表临床评分高危组对肺栓塞的诊断预测价值,差异无统计学意义(χ2=5.287,P>0.05)。结论:Wells评分低、中危患者联合检测肺动脉收缩压可提高对肺栓塞的预测价值。

Objective： To evaluate the predication value of systolic pulmonary artery pressure（SPAP） in low-intermediate risk group of Wells scores pulmonary embohsm（PE）. Methods： The symptom, sign ,history, SPAP, Wells scores of 118 cases with suspected PE were retrospectively analyzed. Results： The pulmonary embolism possibility has relative with the SPAP and Wells scores（Х^2=34.509,32.780,P〈0.05）. Predication of the SPAP in low-intermediate risk groups have statistically significant difference（Х^2=7.759,18.061 ,P〈0.05）, in high risk group have no statistically significant difference（Х^2=5.287, P〉0.05）. Conclusion： The SPAP can increase the possibility of predication of pulmonary embolism in low-intermediate risk groups of the Wells scores.