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欧洲心血管手术危险因素评分系统预测PCI术后早期预后的价值

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摘要 目的:评估欧洲心血管手术危险因素评分(EuroSCORE)系统对经皮冠状动脉介入治疗(PCI)后早期预后的预测能力。方法:回顾性分析我院心内科施行PCI的324例患者的资料,使用EuroSCORE的加法模型及对数回归模型评估所有患者死亡、心肌梗死(心梗)发生的危险程度,并评价其效能。结果:术后随访并发心梗、死亡患者共42人,占13.0%;心梗组12例(26.2%)患者EuroSCORE≥6分,显著高于未发心梗组(12.1%,P=0.013);COX多因素回归模型显示,急性冠脉综合征、EuroSCORE≥6分、多支血管PCI是患者手术病死率的独立预测因子。结论:EuroSCORE系统能有效评估PCI后患者病情危重程度,对准确评估护理工作量、合理配置护理人力资源具有一定的临床意义。
出处 《现代医学》 2014年第5期556-558,共3页 Modern Medical Journal
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