MELD评分预测1型肝肾综合征患者住院期间死亡风险的回顾性研究（职称论文资料）.docVIP

MELD评分预测1型肝肾综合征患者住院期间死亡风险的回顾性研究（职称论文资料） 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：MELD评分预测1型肝肾综合征患者住院期间死亡风险的回顾性研究 1 1 资料与方法 3 2 结果 4 1型H患者预后的多因素分析 4 3 讨论 4 文2：MELD评分系统的应用及不足 5 1 MELD由来及计算公式 6 2 MELD的应用 6 3 MELD的不足 7 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 10 正文 MELD评分预测1型肝肾综合征患者住院期间死亡风险的回顾性研究（职称论文资料） 文1：MELD评分预测1型肝肾综合征患者住院期间死亡风险的回顾性研究 The Retrospective Study of MELD Score Influence on the Prognosis for Patients with Type 1 Hepatorenal Syndrome LIN Gang1 HU Meijin2 XIE Xiaoxiao1 Department，the Central Hospital of Taizhou，Taizhou 318000，China； Department，the Central Hospital of Taizhou，Taizhou 318000，China [Abstract] Objective To know the importance of the end-stage liver disease （MELD）scores impact on the prognosis for patients with type 1 hepatorenal syndrome （H）. Methods All of the patients came from the central hospital of Taizhou from Jan 2000 to Oct 2010，who were died while in hospital were named observed group，who were survival while in hospital were named compared group. We detected the following paramete：the demographic，biochemical paramete，the MELD score，therapeutic methods，and outcomes. Multiple regression analysis model was used for getting the risk facto of type 1 H. Results The concentration of albumin，creatinine，uric acid and the MELD score were significantly higher in the observeed group than that of the compared group. By Multiple regression analysis model，each point elevated in creatinine，total bilirubin level and the MELD score increased mortality risk by %，% and %，respectively. Conclusion MELD score could predict prognosis in patients with type 1 H during their hospitalization. [Key words] Hepatorenal syndrome；MELD scores；Prognostic facto 肝肾综合征（hepatorenal syndrome，H）是终末期肝病（end-stage liver disease，MELD）患者不良预后的重要原因，可分为1型H和2型H。部分研究认为MELD评分为预测H患者预后的有用指标，但这些研究并未区分H的类型，1型H患者肾脏功能恶化的加剧使得病情更为复杂，MELD评分的变化能否预测1型H患者的预后尚缺乏研究。因此，本研究回顾性分析我院近年来H患者的病例资料，探讨MELD评分对1型H患者死亡风险的影响。 1 资料与方法 一般资料 回归性分析2000年1月～2010年10月我院126例1型H患者的病例资料。H诊断标准采用2007年