基于Caprini评分和D-二聚体构建的评估模型在预测术后DVT形成中的价值

目的探讨术前Caprini评分联合D-二聚体检测值构建的评估模型在骨科大手术深静脉血栓(DVT)形成风险评估中的应用效果。方法选取2014年1月至2018年8月骨科大手术患者86例,术前分别用Caprini评分和Caprini评分联合D-二聚体检测值评估患者DVT的形成风险,比较两种方法预测DVT的符合率。结果86例患者中,有11例患者确诊为DVT(12.79%)。术前Caprini评分联合D-二聚体检测值在低危组患者中的DVT符合诊断率(31.81%)高于单独Caprini评分(11.86%),差异有统计学意义(P<0.05)。而在中危组、高危组和极高危组,联合预测符合诊断率与单独Caprini评分相比,差异无统计学意义(P>0.05)。结论Caprini评分联合D-二聚体检测值构建的评估模型可以提高预测骨科大手术患者DVT发生风险的准确性,值得临床推广应用。

Objective To investigate the efect of the preoperative Caprini score combined with d-dimer detection value in the risk asessment of Deep Vein Thrombosis(DVT)after major orthopedic surgery.Method A total of 86 patients who underwent major surgery in our department from January 2014 to August 2018 were selected.The Caprini score and Caprini score combined with d-dimer detection were used to evaluatc the formation risk of DVT in patients before surgery.The coincidence rate of DVT were compared between the two methods.Results Of the 86 patients,11 were diagnosed with DVT(12.79%).The preoperative Caprini score combined with d--dimer test had a higher DVT compliance rate(31.81%)than Caprini score alone(11.86%)than Caprini score alone(88.14%).The difference was stitically significant(P<0.05).In the middle risk group,high risk group and very high risk group,the coincidence diagnosis rate of the combined prediction was not sigificantdly different from that of the Caprini score alone(P>0.05).Conclusion Caprini score combined with d-diner detection valuc can improve the accuracy of predicting dVT risk in patients undergoing major orthopedic surgery,which is worthy of clinical application.