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Glasgow-Blatchford评分对肝硬化食管胃底静脉曲张破裂出血患者早期预后的预测价值

崔舒 王芳 吕洪敏 王凤梅

引用本文:
Citation:

Glasgow-Blatchford评分对肝硬化食管胃底静脉曲张破裂出血患者早期预后的预测价值

DOI: 10.3969/j.issn.1001-5256.2017.10.018
基金项目: 

天津市卫计委科技基金项目(2014KY03);天津市卫计委科技基金攻关项目(16KG151);天津市卫计委科技基金项目(2010KZ123); 

详细信息
  • 中图分类号: R575.2

Value of Glasgow-Blatchford score in predicting early prognosis of cirrhotic patients with esophagogastric variceal bleeding

Research funding: 

 

  • 摘要: 目的比较Glasgow-Blatchford评分(GBS评分)、Child-Pugh评分(CTP评分)和终末期肝病模型(MELD)评分对预测肝硬化伴食管胃底静脉曲张破裂出血1周和6周预后的价值。方法回顾性收集自2014年1月1日-2014年12月31日在天津市第三中心医院住院的202例肝硬化伴食管胃底静脉曲张出血患者的病历资料。以入院后6周的最后结局死亡为研究终点,分为1周内死亡组(n=10)、6周内(包含1周)死亡组(n=23)、存活组(n=179)。分别计算其入院时的GBS评分、MELD评分和CTP评分及分级,比较各评分系统在1周内或6周内死亡组和生存组的差异。符合正态分布的计量资料组间比较采用两独立样本t检验,不符合正态分布的采用Mann-Whitney U检验。计数资料组间比较采用χ2检验或Fisher检验。各评分系统之间受试者工作特征曲线下面积(AUC)的比较采用Z检验。结果 1周内死亡组与生存组相比,肝癌伴血管侵犯或转移(χ2=4.559,P=0.033)、肝性脑病(χ2=25.568,P<0.01)、...

     

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  • 收稿日期:  2017-04-24
  • 出版日期:  2017-10-20
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