RCOG血栓风险评估模型在产妇下肢静脉血栓栓塞症中预测价值研究.docVIP

RCOG血栓风险评估模型在产妇下肢静脉血栓栓塞症中预测价值研究 　　【摘要】 目的：评价RCOG血栓风险评估模型在产妇下肢静脉血栓栓塞症（DVT）中的预测价值。方法：选择2010年5月1日-2015年9月30日于本院分娩的42例下肢静脉血栓栓塞症产妇作为观察组，另选择同时期就诊的50例非静脉血栓栓塞症产妇作为对照组，两组孕妇分别采用RCOG血栓风险评估模型和Wells Score模型进行血栓风险评估。结果：观察组RCOG风险评估模型和Wells Score血栓风险评估模型平均累积风险得分比较，差异有统计学意义（t=2.9117，P=0.0045）。观察组和对照组两种模型在DVT风险分层中，差异有统计学意义（P0.05），且观察组较对照组具有更高的风险等级（P0.05）。RCOG血栓风险评估模型中在观察组中向高危风险和对照组低危分类提示更佳（P0.05）。结论：RCOG血栓风险评估模型在评估产妇静脉血栓栓塞症风险中具有较高的适用价值，适合临床长期推广应用。 　　【关键词】 RCOG血栓风险评估模型； 产妇； 静脉血栓栓塞症； 预测价值 　　【Abstract】 Objective：To analyze the forecast value of RCOG thrombosis risk assessment model in maternal venous thromboembolism.Method：42 cases of venous thromboembolism were selected from May 1 2010 to September 30 2015 in our hospital for treatment as the observation group，while the other choice of treatment of 50 cases of non-maternal venous thromboembolism were selected as the control group，and then two groups of pregnant women were used RCOG thrombosis risk assessment model and Wells Score model for the selected maternal thrombotic risk assessment.While non-parametric tests were used to analyze the predictive value of two models.Result：The differences of RCOG risk assessment model and Wells Score thrombosis risk assessment model scoring average cumulative risk of the observation group were statistically significant（t=2.9117，P=0.0045）.Statistics showed that both models DVT risk stratification in the observation group and the control group（P0.05），and the observation group showed higher risk level than the control group（P0.05）.RCOG thrombosis risk assessment model in the observation group and the control group at high risk to low-risk classification prompt showed better（P0.05）.Conclusion：RCOG thrombosis risk assessment model applied in assessing the value has a high maternal venous thromboembolism risk. 　　【Key words】 RCOG thrombosis risk assessment model； Maternity； Venous thromboembolism； Predictive value 　　First-author’s address：Dongguan Chang’an Hospital，Dongguan 523850，China 　　doi：10.396