改良Geneva评分和Wells评分在肺栓塞诊治中的价值

The Value of Improved Geneva Score and Wells Score in Diagnosis and Treatment of Pulmonary Embolism

目的:探讨改良Geneva评分和Wells评分在肺栓塞诊治中的价值进行。方法:以2010年2月至2013年10月我院住院病人中86例疑似肺栓塞患者作为研究对象,分别对其进行改良Geneva评分和Wells评分,应用两种评分标准对肺栓塞的筛查效果进行比较分析。结果:改良Geneva评分≤3分的患者其诊断肺栓塞的可能性为24.0%,4-10分的可能性为81.0%,而≥11分的可能性则为100%,Wells评分<2分确诊肺栓塞的可能性为31.3%,2-6分的可能性为88.2%,而超过6分其可能性则为100%,两种评分法各分值间的差异均具有统计学意义(P<0.05)。结论:改良Geneva评分和Wells评分其分值越高,则肺栓塞的可能性则越大,建议将Wells评分超过6分或改良Geneva评分超过11分作为确诊肺栓塞的临床指标。

Objective：To analyze the value of improved Geneva score and Wells score in diagnosis and treatment of pulmonary embolism .Method：86 cases of patients with suspected pulmonary embolism in our hospital from February 2010 to October 2013 were as the research objects , separately took the improved Geneva score and Wells score , compared the screening effect of the two criteria in diagnosis and treatment of pulmonary embolism .Result： The possibility diagnosis of pulmonary embolism of patients with less than 3 points in improved Geneva score was 24.0%, 4-10 points was 81.0%, and 11 points was 100%, the possi-bility of pulmonary embolism diagnosis of patients with less than 2 points in the Wells score was 31.3%, 2-6 points was 88.2%, and more than six points was 100%, the different score in two kinds of evaluation method were statistically significant （ P〈0.05） .Conclusion：The higher score of the improved Geneva score and Wells score , the higher possibility of pulmonary embolism is .It can be advised that Wells score more than 6 points or improved Geneva score more than 11 points as the clinical index of diagnosis of pulmonary embolism.