TIMI评分与GRACE评分用于急诊胸痛患者预后评价  

Values of TIMI score and GRACE score in prognostic evaluation of patients with acute chest pain

作　　者：谢环英[1] 陈海英[2] 孙宏娟[1] Xie Huanying Chen Haiyin Sun Hongjuan(Department of Emergency Department of Medical, the Third Hospital of Beijing Municipal Corps, Chinese People＇s Armed Police Force , Beijing 100141, China)

机构地区：[1]武警北京总队第三医院急诊科,北京100141 [2]武警北京总队第三医院医务处,北京100141

出　　处：《现代医药卫生》2017年第6期827-829,共3页Journal of Modern Medicine & Health

摘　　要：目的探讨心肌梗死溶栓治疗危险评分(TIMI评分)法与全球急性冠状动脉事件注册评分(GRACE评分)法用于急诊胸痛患者预后判断中的临床效果。方法回顾性分析2014年10月至2015年10月在该院就诊的92例急性胸痛患者的临床资料,采用TIMI评分与GRACE评分对入选患者的临床变量进行计算、比较、分析,同时对患者出院后1个月预后情况进行回访。通过描绘2种评分模式下的受试者工作特征曲线(ROC)和计算曲线下面积(AUC),评价各种方法的预后判断价值。结果急诊入院患者TIMI、GRACE评分明显高于留院观察患者,差异均有统计学意义(P<0.01);30 d死亡患者TIMI、GRACE评分明显高于存活患者,差异均有统计学意义(P<0.01);行经皮冠状动脉介入治疗(PCI)术患者的TIMI、GRACE评分明显高于未行PCI术患者,差异均有统计学意义(P<0.01)。预测分诊类型、生存状态及是否行PCI手术患者的TIMI、GRACE评分均显示有预后评价意义,差异均有统计学意义(P<0.01)。结论采用TIMI、GRACE评分进行急诊胸痛患者的预后判断具有一定准确性及临床意义。Objective To study the clinical value of TIMI and GRACE scores in prognostic evaluation of patients with acute chest pain.Methods 92 clinical data of acute chest pain patients in the hospital from October 2014 to October 2015 were retrospectively analyzed.The clinical variables were calculated,compared and analyzed by using the TIMI and GRACE scores.At the same time,the patient was discharged after a month prognosis.The prognostic value was evaluated by operating characteristic curve depicts two kinds of patients rating mode（ROC） and area under the curve was calculated（AUC）.Results The TIMI score and GRACE score of emergency group were significantly higher than the observation group（P〈0.01）; The TIMI score and GRACE score of 30-day-death group were also higher than that of the survival group（P〈0.01）;the TIMI score and the GRACE score of the PCI groups were higher than the non-PCI group（P〈0.01）.TIMI score and GRACE score could be used to predict the pathological classification,survival state and selection of PCI surgery（P〈0.05）.Conclusion GRACE and TIMI scores have a prognositic value in the patients with acute chest pain.

关 键 词：胸痛 心肌梗死 急性病 急性冠状动脉综合征 预后 评价研究 

分 类 号：R61[医药卫生—外科学]