HEART与TIMI评分系统在胸痛患者鉴别诊断中的应用  

The Application of HEART and TIMI Scoring System in Differential Diagnosis of Patients with Chest Pain

作　　者：何家成[1] 张春梅 麦丽逢 罗韶金[1] 叶镱[1] 

机构地区：[1]佛山市南海区南方医科大学附属南海人民医院,广东佛山528200 [2]锦州石化医院,辽宁锦州121000

出　　处：《辽宁医学院学报》2015年第3期78-79,共2页Journal of Liaoning Medical University (LNMU) Bimonthly

基　　金：2013年佛山市卫生局医学科研课题;项目编号:2014237

摘　　要：目的比较分析HEART与TIMI评分系统在胸痛患者鉴别诊断中的优点和缺点。方法回顾性分析2014年1月到2014年8月我院急诊就诊的153例胸痛患者,并通过HEART和TIMI评分系统分别对其进行评分,统计分析两者对30 d内主要不良心血管事件(MACE)、3个月内冠脉介入治疗的预测性。结果高危组中,HEART评分组与TIMI评分组在入选人数、第一终点阳性率和第二终点阳性率上差异无统计学意义(P>0.05);中危组中,人数上HEART评分组明显较TIMI评分组多,且两个终点的阳性率亦较TIMI评分组多,差异具有统计学意义(P<0.01);低危组中,HEART评分系统的入选人数明显少于TIMI评分组,且第一终点和第二终点的阳性率也明显低于TIMI评分组,差异具有统计学意义(P<0.01)。结论 HEART评分系统在病种选择、年龄限制、应用便捷上有着更好的优势,值得推广。Objective To compare the advantage and disadvantage of HEART and TIMI scoring system in differential diagnosis of patients with chest pain. Methods 153 cases of emergency patients with chest pain treated in our hospital from January 2014 to August 2014 who were selected as the research object were scored with both HEART and TIMI scoring system respectively. The statistical analysis was conducted of the predictability of the two scoring systems in major adverse cardiovascular events within 30 days and coronary intervention treatment within 3 months. Results In the high - risk group, there was no statistically significant difference between the HEART group and the TIMI group in terms of the number of the selected, the positive rate of first end point and that of the second end point （ P 〉 0. 05 ）. In the mid - risk group, the number of the selected of the HEART group was higher than that of the TIMI group, and so were the two positive rates. The difference was statistically significant （P 〈0. 01 ）. In the low- risk group, the number of the selected of the HEART group was significantly lower than that of the TIMI group, and so were the two positive rates. The difference was statistically significant （P 〈 0. 01 ）. Conclusion The HEART scoring system earns more advantage in disease selection, age limit, and convenience of application, which makes it worth promoting.

关 键 词：HEART评分系统 TIMI评分系统 胸痛 急诊 

分 类 号：R541.4[医药卫生—心血管疾病]