TIMI危险评分在筛选急性心源性胸痛患者中的临床价值.docVIP

TIMI危险评分在筛选急性心源性胸痛患者中的临床价值 　　[摘要] 目的 探讨TIMI危险评分在筛选急性心源性胸痛患者中的临床应用价值。 方法 整群选取2013年2月―2014年10月间来该院急诊科或者心内科就诊的急性胸痛患者401例作为研究对象，经病史询查和常规心电图、心肌损伤标志物检测后，根据TIMI危险评分标准对患者进行评分，不同的危险层次给予不同的处理。对患者进行追踪寻访，了解其就诊近期心血管事件的发生率，并对不同TIMI评分对急性心源性胸痛的诊断敏感性等进行计算。 结果 根据TIMI危险评分结果，低分组、中分组和高分组的患者分别有263例、105例和33例，各占65.59%、26.18%、8.23%。其主要心血管事件发生率分别为4.94%、47.62%、71.43%，随着TIMI危险评分的增高，患者的主要心血管事件发生率升高，3组患者的比较差异均有统计学意义（P中国论文网 /6/view-7159680.htm 　　[关键词] TIMI危险评分；急性心源性胸痛；临床价值 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0082-03 　　Clinical Value of TIMI Risk Score in screening patients with Acute Cardiac Chest Pain 　　WANG Yu-lan 　　Emergency Department， Anhui Provincial Hospital， Hefei， Anhui Province， 230001 China 　　[Abstract] Objective To investigate clinical value of TIMI risk score in screening patients with acute cardiac chest pain. Methods 401 patients with acute cardiac chest pain who underwent treatment in the Emergency Department or Department of Cardiology in this hospital were selected as the research object. They received medical inquiry， routine ECG examination and detection of cardiac injury markers， and were treated differently according to the risk stratification which came from TIMI risk scoring conducted by us. The patients were followed up to make sure the incidences of cardiovascular events shortly after treatment and sensitivity of TIMI risk score in screening patients with acute cardiac chest pain. Results According to the TIMI risk score， there were 263 patients in the low score group， 105 in the mild score group and 33 in the high score group， accounting for 65.59%， 26.18%， 8.23% respectively， and the incidences of cardiovascular events were 4.94%， 47.62%， 71.43%. The incidences of cardiovascular events were higher in patients with higher TIMI risk score， and there was statistically significant difference between patients with difference risk stratification （P 　　1 资料与方法 　　1.1 一般资料 　　整群选取2013年2月―2014年10月间来该院急诊科或者心内科就诊的急性胸痛患者401例作为研究对象。 　　排除标准[3]：合并严重肝肾功能、肺脏功能障碍的患者