四种不同量表对住院肿瘤患者深静脉血栓形成的预测价值  

The Predictive Value of Four Different Scales for Deep Vein Thrombosis in Hospitalized Tumor Patients

作　　者：代俊利[1] 李金玲[2] 孙同友[1] DAI Junli(Chengde Central Hospital,Hebei Chengde 067000,China)

机构地区：[1]河北省承德市中心医院放化疗中心,河北承德067000 [2]承德医学院附属医院医疗保险综合管理办公室,河北承德067000

出　　处：《河北医学》2020年第5期845-850,共6页Hebei Medicine

基　　金：河北省2018年承德市科学技术研究与发展计划项目(编号:201804A078)。

摘　　要：目的:应用Padua、Caprini、Wells DVT及Autar评分量表分别评价住院肿瘤患者深静脉血栓形成(DVT)的预测价值,并进行比较。方法:选取2013年1月至2019年3月就诊于承德市中心医院并通过多普勒超声诊断为DVT的150例住院肿瘤患者作为血栓组,同期选择150例无DVT的住院肿瘤患者作为阴性对照。对两组患者分别采用Padua、Caprini、Wells DVT和Autar量表进行评分及比较,进一步绘制ROC并计算曲线下面积AUC,并进行两两比较。结果:两组患者根据量表所得评分进行比较:血栓组Padua、Caprini和Wells DVT量表所得评分均明显高于对照组(P<0.001),而Autar量表所得评分两组未见明显差异(P=0.704);Padua量表AUC明显高于Caprini(P<0.0001)、Wells DVT(P<0.0001),Caprini量表AUC高于Wells DVT量表,差异具有统计学意义(P=0.0012)。结论:Padua、Caprini和Wells DVT评分量表均可较准确地预测住院肿瘤患者发生DVT的风险,其中Padua量表预测价值最高,Caprini量表次之。Objective:To compare the predictive value of evaluating deep vein thrombosis(DVT)in hospitalized patients with Padua,Caprini,Wells DVT and Autar scoring scales.Methods:150 hospitalized tumor patients diagnosed with DVT by doppler ultrasound in Chengde Central Hospital from January 2013 to March 2019 were selected as the thrombus group,and 150 hospitalized tumor patients without DVT were selected as the negative control.Padua,Caprini,Wells DVT and Autar scales were used to score and compare the two groups of patients,and then the ROC was plotted and the AUC under the curve was measured.Results:The scores of the two groups were compared according to the scale:the scores of Padua,Caprini and Wells DVT were significantly higher in the thrombus group than in the control group(P<0.001),while there was no significant difference in the scores of the Autar scale between the two groups(P=0.704).AUC of Padua scale was significantly higher than that of Caprini(P<0.0001)and Wells DVT(P<0.0001).AUC of Caprini scale was significantly higher than that of Wells DVT scale,and the difference was statistically significant(P=0.0012).Conclusion:the Padua,Caprini and Wells DVT scoring scales can accurately predict the risk of DVT in hospitalized tumor patients,among which the Padua scale has the highest prediction value,followed by the Caprini scale.

关 键 词：住院肿瘤患者 深静脉血栓形成 Padua量表 Caprini量表 Wells DVT量表 Autar量表 

分 类 号：R730.5[医药卫生—肿瘤] R543.6[医药卫生—临床医学]