摘要
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.
出处
《河北医学》
CAS
2014年第7期1065-1068,共4页
Hebei Medicine
基金
河北省沧州市科技计划项目
(编号:1213056ZD)