中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
82-84
,共3页
TIMI危险评分%急性心源性胸痛%临床价值
TIMI危險評分%急性心源性胸痛%臨床價值
TIMI위험평분%급성심원성흉통%림상개치
TIMI risk score%Acute cardiac chest pain%Clinical value
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<0.05).经ROC分析,低分组的患者排除急性心源性胸痛的敏感性为95.06%,TIMI危险评分中分组和高分组患者诊断急性心源性胸痛敏感性分别为47.62%和100.00%. 结论 TIMI危险评分用于急性心源性胸痛患者的筛查过程中具有良好的灵敏度,值得临床推广应用.
目的 探討TIMI危險評分在篩選急性心源性胸痛患者中的臨床應用價值. 方法 整群選取2013年2月—2014年10月間來該院急診科或者心內科就診的急性胸痛患者401例作為研究對象,經病史詢查和常規心電圖、心肌損傷標誌物檢測後,根據TIMI危險評分標準對患者進行評分,不同的危險層次給予不同的處理. 對患者進行追蹤尋訪,瞭解其就診近期心血管事件的髮生率, 併對不同TIMI評分對急性心源性胸痛的診斷敏感性等進行計算. 結果 根據TIMI危險評分結果,低分組、中分組和高分組的患者分彆有263例、105例和33例,各佔65.59%、26.18%、8.23%.其主要心血管事件髮生率分彆為4.94%、47.62%、71.43%,隨著TIMI危險評分的增高,患者的主要心血管事件髮生率升高,3組患者的比較差異均有統計學意義(P<0.05).經ROC分析,低分組的患者排除急性心源性胸痛的敏感性為95.06%,TIMI危險評分中分組和高分組患者診斷急性心源性胸痛敏感性分彆為47.62%和100.00%. 結論 TIMI危險評分用于急性心源性胸痛患者的篩查過程中具有良好的靈敏度,值得臨床推廣應用.
목적 탐토TIMI위험평분재사선급성심원성흉통환자중적림상응용개치. 방법 정군선취2013년2월—2014년10월간래해원급진과혹자심내과취진적급성흉통환자401례작위연구대상,경병사순사화상규심전도、심기손상표지물검측후,근거TIMI위험평분표준대환자진행평분,불동적위험층차급여불동적처리. 대환자진행추종심방,료해기취진근기심혈관사건적발생솔, 병대불동TIMI평분대급성심원성흉통적진단민감성등진행계산. 결과 근거TIMI위험평분결과,저분조、중분조화고분조적환자분별유263례、105례화33례,각점65.59%、26.18%、8.23%.기주요심혈관사건발생솔분별위4.94%、47.62%、71.43%,수착TIMI위험평분적증고,환자적주요심혈관사건발생솔승고,3조환자적비교차이균유통계학의의(P<0.05).경ROC분석,저분조적환자배제급성심원성흉통적민감성위95.06%,TIMI위험평분중분조화고분조환자진단급성심원성흉통민감성분별위47.62%화100.00%. 결론 TIMI위험평분용우급성심원성흉통환자적사사과정중구유량호적령민도,치득림상추엄응용.
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 car-diac 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 pa-tients 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 differ-ence risk stratification (P<0.05). It was showed by ROC analysis that the sensitivity of TIMI risk score in screening patients with a-cute cardiac chest pain were 95.06%, 47.62%, 100.00% in the low score group, mild score group, and high score group. Conclu-sion TIMI risk score has high sensitivity in screening patients with acute cardiac chest pain and is worthy of clinical application.
