急腹症病人急性阑尾炎快速评分的建立及应用  

Establishment and application of rapid score for acute appendicitis in patients with acute abdomen

作　　者：王传金 赵曙光[1] 樊卫国[1] WANG Chuanjin;ZHAO Shuguang;FAN Weiguo(Department of Emergency Surgery,Taihe People's Hospital,Anhui,Taihe 236600,China)

机构地区：[1]安徽省太和县人民医院急诊医学科急诊外科,236600

出　　处：《临床外科杂志》2020年第11期1033-1035,共3页Journal of Clinical Surgery

摘　　要：目的建立急腹症病人急性阑尾炎快速评分系统并验证其诊断效能。方法急腹症病人1387例,根据病人是否为急性阑尾炎将其分为阑尾炎组及非阑尾炎组,比较两组病人的临床特征及实验室指标,建立急性阑尾炎发生的预测模型,并对其进行验证。结果白细胞、中性粒细胞百分比、体温、转移痛、疼痛症状加重等临床特征是预测急性阑尾炎发生的独立影响因素,基于此建立的列线图预测模型预测急性阑尾炎发生的一致性指数为0.917。结论基于临床症状及实验室指标构建的列线图模型能有效预测急性阑尾炎。Objective To establish a rapid scoring system for acute appendicitis in patients with acute abdomen and verify its diagnostic efficacy.Methods 1 387 patients with acute abdomen were divided into appendicitis group and non-appendicitis group according to whether they were acute appendicitis or not.Compare the clinical characteristics and laboratory indexes between the two groups,established and verified the prediction model of acute appendicitis.Results Leukocytes,percentage of neutrophils,body temperature,metastatic pain,aggravation of pain symptoms and other clinical characteristics were the independent influencing factors to predict the occurrence of acute appendicitis.The consistency index of prediction model of nomogram based on this model was 0.917.Conclusion The nomogram model based on clinical symptoms and laboratory indexes can effectively predict acute appendicitis.

关 键 词：急腹症 急性阑尾炎 快速评分系统 

分 类 号：R656.8[医药卫生—外科学]