EuroSCORE和SinoSCORE在预测成人心脏病术后死亡率中的应用回顾和展望  

Application and Prospect of EuroSCORE and SinoSCORE for the Prediction of Mortality after Cardiovascular Surgery in Adults

作　　者：杭永斌[1] 赵文增 

机构地区：[1]郑州大学第一附属医院心脏外科,郑州450003

出　　处：《中国胸心血管外科临床杂志》2014年第2期253-257,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：随着现心血管外科中高危病人的比例明显增加。心血管外科医师需要量化的评估体系对患者围手术期危险性进行术前评估。目前国际影响较大的风险预测模型是欧洲心血管手术危险因素评分系统(European system for cardiac operative risk evaluation,EuroSCORE)。中国心血管外科注册登记研究的数据表明,EuroSCORE不能很好地预测我国心血管外科患者的手术风险。因此,中国心血管外科注册登记研究协作组应用最新的心血管外科病例数据建立我国首个冠状动脉旁路移植手术风险评估系统(Sinosystem for coronary operative risk evaluation,SinoSCORE),目前正广泛应用于临床。我们结合文献对EuroSCORE和SinoSCORE两个指标在预测成人心脏病术后死亡率中的应用进行回顾和展望。With significantly increasing proportion of high-risk patients undergoing cardiovascular surgery, a quantitative risk stratification system of perioperative patients is needed for cardiovascular surgeons. European system for cardiac operative risk evaluation （EuroSCORE） is a widely-used risk prediction model for adult patients undergoing cardiovascular surgery in the world. Research data from Chinese Cardiac Surgery Registry show that the performance of EuroSCORE in the prediction of postoperative risk of Chinese cardiovascular surgical patients is not satisfactory. Thus, the first Chinese coronary operative risk evaluation model （Sino system for coronary operative risk evaluation,SinoSCORE） is established with latest cardiovascular surgery data by Collaboration Association of Cardiovascular Surgeon in China, and has been widely used in clinical practice. This review focuses on the application and prospect of EuroSCORE and SinoSCORE for the prediction of mortality after cardiovascular surgery in adults.

关 键 词：心脏外科手术 EUROSCORE SINOSCORE 危险I生评估 死亡率 

分 类 号：R654.2[医药卫生—外科学] R654.3[医药卫生—临床医学]