应用两种评分系统对409例肝硬化和重型肝炎病例的评估分析  

Analysis of 409 liver cirrhosis and severe hepatitis case using two kind of scoring system

作　　者：宋春辉[1] 陈黎明[2] 徐长江[2] 陈菊梅[2] 

机构地区：[1]解放军军医进修学院,2005级博士队北京100039 [2]解放军第302医院

出　　处：《胃肠病学和肝病学杂志》2007年第1期73-75,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的应用两种评分方法对409名肝硬化及重型肝炎患者进行评估比较,对两种评估结果及有关的上消化道出血及死亡等因素进行相关性分析。方法统计409名肝硬化及重型肝炎患者的相关资料,应用Child和MELD评分法分别计算后应用Chiss软件进行统计学分析。结果各种计算比较结果见表格。结论Child-Pugh分级法和MELD评分系统各有特点,将两种评分方式与多因素分析与经验有机结合,才是符合临床实际的判断严重肝病预后的较科学手段。Objective To compare the results of 409 liver cirrhosis and severe hepatitis cass by using two kinds of scoring system. Methods Collect the data of 409 liver cirrhosis and severe hepatitis cases, calculate using the Child - Pugh and MELD scoring system, analyze the results using Chiss statistical software. Results There was a statistical significance between either results of MELD score of group A, B, C, D Child-pugh grade A, B, C, group D ： Severe hepatitis ; the result of MELD score of death casos was higher than that of sarvival Pationts ;there was no statistical significance between the result of MELD score of upper gastrointestinal hemorrhage and no bleeding group ; but the result of MELD score of hemorrhage and death groups were lower than those of no hemorrhage and death groups significantly. Conclusion Child-Pugh and MELD scoring system both have their own characters, but the best way to decide the prognosis of severe liver disease is to connect these two kinds of scoring system with multiplicity and clinical experience.

关 键 词：Child—Pugh分级法 MELD评分系统 肝硬化 重型肝炎 

分 类 号：R575.2[医药卫生—消化系统] R512.6[医药卫生—内科学]