3种血栓风险评估表对老年下肢骨折病人术后并发深静脉血栓的预测价值

doi:10.3969/j.issn.1003-9198.2021.09.006

摘要/Abstract

摘要： 目的探讨深静脉血栓风险评分量表(Wells)、静脉血栓栓塞症风险评估量表(Caprini)、深静脉血栓危险因素评估量表(Autar)对老年下肢骨折病人术后并发深静脉血栓(DVT)的预测价值。方法选取2018年1月至2019年1月新疆医科大学第七附属医院收治的下肢骨折并接受手术治疗的96例老年病人为研究对象,根据病人的多普勒彩色超声检查结果,将术后并发DVT的病人作为阳性组(n=54),未并发DVT的病人作为阴性组(n=42)。收集病人的一般资料,并分别使用Wells、Caprini、Autar量表对其进行评估。采用ROC曲线分析评价3种血栓风险评估表对老年下肢骨折病人术后DVT的预测价值。结果与阴性组相比,阳性组的Wells、Caprini、Autar量表评分显著更高,差异均具有统计学意义(P＜0.01)。ROC曲线分析结果显示,Wells量表的AUC为0.903,灵敏度为88.9%,特异度为90.5%;Caprini量表的AUC为0.792,灵敏度为64.8%,特异度为85.7%;Autar量表的AUC为0.810,灵敏度为77.8%,特异度为88.1%。结论 Wells量表对老年下肢骨折病人术后并发DVT风险的预测价值最高,Auter量表和Caprini量表相对较低。

关键词: 血栓风险评估表, 下肢骨折, 深静脉血栓, 预测价值, 老年人

Abstract: Objective To investigate the predictive value of deep vein thrombosis risk score scale (Wells), venous thromboembolism risk scale (Caprini) and deep vein thrombosis risk factor evaluation scale (Autar) for postoperative deep vein thrombosis (DVT) in the elderly patients with lower limb fracture. Methods A total of 96 elderly patients with lower limb fracture receving surgery in the Seventh Affiliated Hospital of Xinjiang Medical University from January 2018 to January 2019 were enrolled. According to the results of the patients’ color Doppler ultrasound examination, patients with postoperative DVT were selected as the positive group (n=54), and patients without DVT were selected as the negative group (n=42). All the patients’ general clinical data were collected, and they were assessed with Wells, Caprini and Autar. The predictive value of the three kinds of thrombosis risk assessment scales for postoperative DVT in the elderly patients with lower limb fracture was evaluated by receiver operating characteristic (ROC) curve analysis. Results Compared with the negative group, the scores of Wells, Caprini and Autar in the positive group were significantly higher (P<0.01). ROC curve analysis showed that the area under curve (AUC), sensitivity and specificity of Wells were higher than those of Caprini and Autar (0.903 vs 0.792 vs 0.810, 88.9% vs 64.8% vs 77.8%, 90.5% vs 85.7% vs 88.1%, resepectively). Conclusions Wells has the highest predictive value for the risk of postoperative DVT in the elderly patients with lower limb fracture, while Auter and Caprini are lower.

Key words: thrombosis risk assessment scale, lower limb fracture, deep vein thrombosis, predictive value, aged

中图分类号:

R 619

杨淼, 谢晶, 马亮英, 李国华. 3种血栓风险评估表对老年下肢骨折病人术后并发深静脉血栓的预测价值[J]. 实用老年医学, 2021, 35(9): 914-917.

YANG Miao, XIE Jing, MA Liang-ying, LI Guo-hua. Predictive value of three kinds of thrombosis risk assessment scale for postoperative deep vein thrombosis in elderly patients with lower limb fracture[J]. Practical Geriatrics, 2021, 35(9): 914-917.

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