Caprini静脉血栓风险评估量表在呼吸科住院患者中使用价值.doc

Caprini静脉血栓风险评估量表在呼吸科住院患者中使用价值 　　[摘要] 目的 研究与分析Caprini静脉血栓?L险评估量表在呼吸科住院患者中的使用价值。方法 从该院2017年1―12月期间内接收的呼吸科住院患者中随机抽取150例患者，中危及高危患者均接受CTPA进行检查确诊为肺栓塞的患者纳入到观察组中，中危及高危患者接受CTPA进行检查后并未发现肺栓塞的患者纳入到对照组中，均75例。采用Caprini等2009年修订的Caprini风险评估量表，对所有患者进行静脉血栓风险评分及危险度分级，观察两组患者Caprini风险评估模型各风险分级与静脉血栓发生风险的关系。结果 观察组患者体质指数显著高于对照组患者，红细胞压积和血红蛋白显著低于对照组患者；观察组患者低危率（18.67%）、中危率（26.67%）均低于对照组患者，高危率（44.00%）、极高危率（14.67%）均高于对照组患者，死亡率（5.33%）低于对照组患者；差异有统计学意义（P=0.030，P=0.024，P=0.018，P=0.003，P=0.007，P0.05）。结论 Caprini风险评估模型能够有效的对呼吸科住院患者进行量化的静脉血栓风险评估，临床价值较高。 　　[关键词] 静脉血栓；风险评估；呼吸科 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）03（b）-0045-03 　　Application Value of Caprini Venous Thrombus Risk Evaluation Scale in the Inpatients in the Department of Respiration 　　Guly-Kadier1， WEI Xin-ling2， ZHAO Jing1， YONG Nan1 　　1.Four Department of Internal Medicine， Karamay Dushanzi People’s Hospital， Karamay， Xinjiang， 833699 China；2.Department of Health， Karamay Dushanzi People’s Hospital， Karamay， Xinjiang， 833699 China 　　[Abstract] Objective To research and study the application value of Caprini venous thrombus risk evaluation scale in the inpatients in the department of respiration. Methods 150 cases of patients with middle risk and high risk admitted and treated in our hospital from January to December 2017 were selected for CTPA， and divided into two groups with 75 cases in each， the observation group were the patients with pulmonary embolism， and the control group were the patients without pulmonary embolism， Caprini risk evaluation scale revised in 2009 was used by the Caprini， and the correlation between the various risks classification evaluated by the Caprini risk evaluation mode and risks of venous thrombus was observed. Results The body mass index in the observation group was obviously higher than that in the control group， and the hematocrit and hemoglobin were obviously lower than those in the control group， and the low-risk rate and middle-risk rate in the observation group were respectively 18.67%