| 刘纯,朱松波,周大勇,等.Caprini与 Autar血栓风险评估模型在血管外科筛选静脉血栓栓塞症病人中的意义[J].安徽医药,2019,23(11):2176-2179. |
| Caprini与 Autar血栓风险评估模型在血管外科筛选静脉血栓栓塞症病人中的意义 |
| The implication of Caprini and Autar risk evaluation models in screening patients with venous thrombosis of vascular surgery |
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| DOI：10.3969/j.issn.1009?6469.2019.11.014 |
| 中文关键词: 静脉血栓栓塞 血管外科 Autar模型 Caprini模型 危险性评估 |
| 英文关键词: Venous thromboembolism Vascular surgery Autar model Caprini model Risk assessment |
| 基金项目:苏州市科技局科技发展计划项目( SYSD 2015143) |
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| 中文摘要: |
| 目的比较 Caprini模型与 Autar模型在血管外科病人中对静脉血栓栓塞症( VTE)风险的预测价值，探讨不同评估模型对临床筛查 VTE的意义。方法选取 2017年 1—12月南京医科大学附属苏州医院收治的 61例 VTE病人作为观察组，同时选取同时期同科室 155例非 VTE病人作为对照组，采用回顾性病例对照分析研究，对两组病人分别进行 Caprini和 Autar风险评估，分析评分分级与实际发生 VTE的相关性。结果 Caprini模型观察组低危和中危均 0例、高危 61例，对照组分别为 10、110、35例； Autar模型观察组低危 5例、中危 41例、高危 15例，对照组分别为 15、126、14例，两种评估模型在各组的风险分级中均差异有统计学意义( P＜0.05)通过比较 ROC曲线下面积， Caprini模型具有更高的灵敏度和特异性( P＜0.01)。结论两种风险评估模型均能够有效在血管外，科病人中进行 VTE风险评估，且 Caprini模型较 Autar模型能够更精准地根据个体危险因素进行定 |
| 英文摘要: |
| Objective To explore the implication of different thrombosis risk evaluation models by comparing Caprini and Autarmodels in screening patients with venous thrombosis(VTE)of vascular surgery.Methods From January to December 2017，61 pa? tients with VTE admitted to Suzhou Hospital Affiliated to Nanjing Medical University were selected as the study group，while 155 non?venous thrombosis patients at the same period were selected as the control group.Both groups were assessed by Caprini and Au?tar risk evaluation models to illustrate the relationship between score and the incidence of venous thrombosis in the retrospectivestudy.Results There were 0 case with low and middle risk，61 cases with high risk in the study group，while 10，110，35 cases in? dividually in the control group by Caprini model. By Autar model，there were 5，41，15 cases in the study group while 15，126，14 cases in the control group.The two models were statistically different in the risk stratification in study and control group(P＜0.05). The ROC curve showed Caprini model had higher sensitivity and specificity(P＜0.01).Conclusion Caprini and Autar modelshave a good ability to evaluate the venous thrombosis risk of patients in vascular surgery.Caprini model has more advantages whichis worthy of promotion in clinical practice. |
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