肝硬化食管胃底曲张静脉破裂出血患者的MELD评分与预后分析  

A scoring model of end-stage liver diseases for predicting the prognosis of cirrhotic patients with esophageal varices bleeding

作　　者：申振宇[1] 蒋晓峰[2] 周莹群[1] 刘华[1] 万荣[1] 郭传勇[1] 

机构地区：[1]同济大学附属第十人民医院消化内科,上海200072 [2]同济大学附属同济医院肾内科,上海200065

出　　处：《同济大学学报（医学版）》2009年第5期119-120,124,共3页Journal of Tongji University(Medical Science)

摘　　要：目的应用MELD评分分析与肝硬化食管胃底曲张静脉破裂出血患者预后的关系。方法对112例肝硬化食管胃底曲张静脉破裂出血患者进行MELD评分,并随访再出血率和病死率。结果随着MELD评分的增高,再出血率和病死率随之增高。再出血患者MELD评分高于未再出血患者,分别为46.78和21.74,差异有统计学意义(P<0.05),死亡患者高于未死亡患者,分别为39.14和15.89,差异有统计学意义(P<0.05)。结论MELD评分有助于评判肝硬化食管胃底曲张静脉破裂出血患者的预后。Objective Using the scoring system of the model for end-stage liver disease （MELD） to predict the prognosis of cirrhotic patients with esophageal varices bleeding. Methods Total 112 cirrhotic patients with esophageal varices bleeding were enrolled with a follow-up. On admission MELD scores were obtained to observe their correlation with rebleeding and mortality. Results With the increase of MELD score, the rebleeding and mortality significantly increased. MELD scores in rebleeding group and non-rebleeding group were 46.78 and 21.74, respectively （P 〈 0.05）, while in death group and survival group were 39.14 and 15.89, respectively （ P 〈 0. 05 ）. Conclusion The MELD score is a good parameter for predicting the prognosis of cirrhotic patients with esophageal varices bleeding.

关 键 词：肝硬化 食管曲张静脉破裂出血 MELD评分 预后 

分 类 号：R571[医药卫生—消化系统]