改良中医危重症评分对急性冠脉综合征预后的判断价值评价  

Evaluation of Modified Critical Illness Score of Traditional Chinese Medicine on Prognosis of Acute Coronary Syndrome

作　　者：黄汉超[1] 李典鸿[1] 赵自明[1] 李继庭[1] 陈垚[1] HUANG Han-chao;LI Dian-hong;ZHAO Zi-ming;LI Ji-ting;CHEN Yao(The Second Hospital of Traditional Chinese Medicine of Guangdong Province,Guangzhou 510095,China)

机构地区：[1]广东省第二中医院,广州510095

出　　处：《江西中医药大学学报》2021年第5期30-34,共5页Journal of Jiangxi University of Chinese Medicine

基　　金：广东省中医药局科研项目面上项目(20182006)。

摘　　要：目的:评价改良中医危重症评分系统对急性冠脉综合征患者预后的判断价值。方法:随机选择急性冠脉综合征患者106例,应用改良中医危重症评分系统及全球急性冠状动脉事件注册(GRACE)危险评分系统进行评分,观察半年内患者死亡率及心血管不良(MACE)事件发生率。结果:改良中医危重症评分在6分以内,MACE事件发生率仅为25 %;9分以内,均没有死亡例数;1012分者,死亡率开始增高,半年内达28.6 %;评分大于12分者,死亡率显著增高,1个月内达55.6 %,总死亡率达88.9 %。Pearson相关性分析显示,该评分系统和GRACE评分有良好的相关性,多元线性回归分析显示,细项分值中脉神、肢温等与死亡率有较强的相关性。结论:改良中医危重症评分对急性冠脉综合征患者预后有较好的临床预测价值,中医"心藏神"理论有其科学依据和实践指导价值。Objective:To explore the prognostic value of the Modified Critical Illness Score of TCM for patients with Acute Coronary Syndrome.Method:106 patients with Acute Coronary Syndrome were observed by both Modified Critical Illness Score and GRACE score to evaluated the mortality and incidence of malignant cardiovascular events within six months.Results:The Modified Critical Illness Score within 9,mortality was negative,while the score got 1012,28.6 % in half a year.Once more than 12,the mortality rate in one month was 55.6 % and the total mortality rate was 88.9 %.Pearson regression analysis showed that the score system had a good correlation with GRACE score,Multivariate regression analysis showed that pulse spirit、limb temperature are strongly correlated with mortality.Conclusion:Modified Critical Illness Score has a good clinical predictive value for patients with myocardial infarction.TCM has scientific basis for the prognosis of cardiovascular critical incidence.

关 键 词：急性冠脉综合征 中医危重症评分系统 GRACE评分 预后判断 

分 类 号：R259[医药卫生—中西医结合]