HEART评分模型在我国南方地区门急诊系统胸痛患者中应用价值.docVIP

HEART评分模型在我国南方地区门急诊系统胸痛患者中应用价值 　　摘要：目的：探究HEART评分系统对疾病评估、病情诊断、预后测评等方面的应用，该系统主要以病史、心电图、危险因素、肌钙蛋白、年龄这5项指标组成并且探讨在急诊胸痛患者的应用价值。方法：选择2011年1月―2013年1月在我院接受治疗的114例急诊胸痛患者作为研究对象，并将患者分为心源性胸痛及非心脏源性胸痛，心源性胸痛组可以分成急性心梗组和心绞痛组，依据HEART评分系统对患者病情进行评估并且分析。结果：HEART评分系统评价病情和预后，心源组与非心源组具有明显统计差异（P0.05）；急性心梗组和心绞痛组具有明显统计差异（P0.05）；运用HEART评分可以提升诊断方面的准确度以及规范程度和漏诊概率。结论：针对急诊胸痛患者使用HEART评分可以准确、迅速、便捷的对实际病情和患者预后进行有效评估，作为针对急诊胸痛患者进行生存预测和治疗选择的可行量化指标，可以对病情做出迅速的评估和针对，在临床中具有重要的应用价值。 　　关键词：HEART评分；急性胸痛；应用探讨 　　佛山市卫生局医学科研课题立项编号：2014237 　　Abstract： Objective：To explore the application of HEART scoring system，which consists of five indicators of history， electrocardiogram， risk factors， troponin and age， in the aspects of disease assessment， diagnosis， prognosis assessment， discuss the application value for chest pain patients in emergency department.Methods：114 cases of emergency patients with chest pain treated in our hospital from January 2011 to January 2011 were selected as the research objects， and divided them into cardiac chest pain group（CCP） and non cardiac chest pain group（NCCP），the cardiac chest pain group can be divided into AMI group and stenocardia group，evaluated and compared the patient disease conditions according to the HEART scoring system.Results： In the evaluation of disease conditions and prognosis by HEART scoring system，differences between CCP group and NCCP were not statistically significant （P 0.05）；differences between AMI group and stenocardia group were statistically significant （P 0.05）；it could improve the accuracy，standardization degree and missed diagnosis rate of diagnosis to score by HEART.Conclusion：HEART score application for emergency chest pain patients can effectively evaluate actual condition and prognosis accurately， rapidly and conveniently，which can serves as possible quantified indicators of survival prediction and treatment options for chest pain patients，evaluating the disease conditions quickly， having important application value in clinic. 　　Keywords：the HEAR