qPadua量表对急诊观察室高危病人深静脉血栓形成的预测价值  

Predictive value of qPadua Scale for deep venous thrombosis in high-risk patients in emergency observation room

作　　者：曹云 孙鸿翔 何斌[1] 郝卫文 CAO Yun;SUN Hongxiang;HE Bin;HAO Weiwen(The First Affiliated Hospital with Nanjing Medical University,Jiangsu 210029 China)

机构地区：[1]南京医科大学附属第一医院,江苏210029

出　　处：《护理研究》2021年第1期40-43,共4页Chinese Nursing Research

基　　金：江苏省卫生健康委员会面上项目,编号:H2019108。

摘　　要：目的:探讨qPadua量表对急诊观察室深静脉血栓形成(DVT)高危病人发生DVT的预测效果。方法:选取2019年1月—2020年3月急诊观察室DVT高危病人145例,入观察室时分别给予Padua量表、qPadua量表评分以及血清D-二聚体检测,以病人入观察室3 d内多普勒超声结果为诊断标准,运用受试者工作特征曲线(ROC)分析比较Padua评分、qPadua评分以及Padua评分联合血清D-二聚体对急诊观察室DVT高危病人发生DVT的预测效果。结果:急诊观察室DVT高危病人留观期间发生DVT59例,未发生DVT病人86例;Padua量表对急诊观察室病人DVT的最佳临界值为5分,灵敏度为67.8%,特异度为60.5%,约登指数为0.283,ROC曲线下面积为0.709[95%CI(0.625,0.794)];qPadua量表最佳临界值为5分,灵敏度为55.9%,特异度为90.7%,约登指数为0.466,ROC曲线下面积为0.811[95%CI(0.739,0.883)];Padua量表联合血清D-二聚体检测的灵敏度为55.9%,特异度为83.7%,约登指数为0.396,ROC曲线下面积为0.749[95%CI(0.669,0.828)];qPadua量表的ROC曲线面积显著高于Padua量表和Padua量表联合D-二聚体检测(P<0.05)。结论:Padua量表、qPadua量表以及Padua量表联合D-二聚体检测在一定程度上能预测急诊观察室DVT高危病人DVT的发生,其中qPadua评分的预测能力较理想,使用简单,但灵敏度较低。Objective:To investigate the effect of qPadua Scale on the prediction of DVT in patients at high risk of intraventricular deep vein thrombosis(DVT)in emergency observation room.Methods:Totally 145 high-risk patients in the emergency observation room from January 2019 to March 2020 were selected,and the Padua Scale,THE qPadua Scale and the serum D-dimer tests were performed entering the observation room.With the doppler ultrasound results within 3 days of patients entering observation room as the diagnostic criteria,ROC curve analysis was used to compare the predictive effects of Padua Scale,qPadua Scale and Padua Scale combined with serum D-dimer on DVT occurrence in patients in the emergency observation room.Results:During the observation period of high-risk patients in the emergency observation room,there were 59 patients with DVT,but 86 patients without DVT.The optimal threshold of Padua Scale for DVT of patients in the emergency observation room was 5 points,the sensitivity was 67.8%,the specificity was 60.5%,the Yoden index was 0.283,and the area under ROC curve was 0.709[95%CI(0.625,0.794)].While the optimal threshold of qPadua Scale was 5 points,the sensitivity was 55.9%,the specificity was 90.7%,the Yoden index was 0.466,and the area under ROC curve was 0.811[95%CI(0.739,0.883)].The sensitivity,specificity and Yoden index of Padua Scale combined with serum D-dimer were 55.9%,83.7%,0.396,respectively,the area under ROC curve was 0.749[95%CI(0.669,0.828)].The ROC curve area of qPadua Scale was significantly higher than those of Padua Scale and Padua Scale combined with D-dimer(P<0.05).Conclusion:To a certain extent Padua Scale qPadua Scale and Padua Scale combined with D-dimer all could predict the occurrence of DVT in patients of emergency observation room.Among them the predictive ability of qPadua Scale was ideal simple to use but with low sensitivity.

关 键 词：急诊 Padua量表 qPadua量表 深静脉血栓形成 D-二聚体 预测 

分 类 号：R473[医药卫生—护理学]