|
|
|
| Predictive value of different scales on the risk assessment of deep venous thrombosis in stroke patients |
| YANG Ru1,2, XU Renhua1 |
1 School of Nursing, Binzhou Medical University, Yantai 264000, P.R.China;
2 Department of Traditional Chinese Medicine, Kenli District People's Hospital |
|
|
|
|
Abstract Objective To study the predictive value of Padua scale,Autar scale and Caprini scale on the risk assessment of deep venous thrombosis (DVT) in stroke patients.Methods The clinical data of 162 stroke patients were retrospectively analyzed.According to the Results of Doppler ultrasonography,the patients were divided into DVT group and control group.Padua,Autar and Caprini scales were used to assess the risk of DVT occurrence.The evaluated Results of the scales were compared,and the receiver operating characteristic curve (ROC) and area under the curve (AUC) were used to analyze the predictive value of each scale on the risk of DVT in stroke patients.Results There were 37 cases of DVT in 162 stroke patients, and the incidence rate was 22.84%. The Padua scale score and proportion of high-risk patients in DVT group were higher than those in control group.The ratio of Autar scale and high-risk patients was higher than that of control group,and the Caprini scale score and proportion of extremely high-risk patients were higher than those in control group.The AUC value of Padua scale was greater than that of Autar sclae and Caprini scale, and the difference in the former was not statistically significant, and the difference in the latter was statistically significant, and the AUC value of Autar scale was greater than that of Caprini scale.Conclusion Padua, Autar and Caprini scales all have high accuracy in the assessment of DVT risk in stroke patients, and they are helpful for identifying DVT high-risk factors and adopting targeted preventive measures.
|
|
Received: 10 December 2018
|
|
|
|
|
|
[1] 陈敏,章建兰,孙敏,等.下肢深静脉血栓并发肺动脉栓塞置管溶栓的护理[J].中国微创外科杂志,2014,14(4):382-384.
[2] 郑学洵.下肢深静脉血栓并发肺动脉栓塞的诊治进展[J].医学综述,2013,19(22):4141-4145.
[3] Liu L P,Zheng H G,Wang D Z,et al.Risk assessment of deep-vein thrombosis after acute stroke: a prospective study using clinical factors[J].CNS Neurosci Ther,2014,20(5):403-410.
[4]丁炎明,李晶,刘飞,等.常用静脉血栓栓塞症风险评估工具在临床中的应用[J].中国护理管理,2017,17(11):1451-1457.
[5] Amin A N, Lin J,Thompson S,et al.Rate of deep-vein thrombosis and pulmonary embolism during the care continuum in patients with acute ischemic stroke in the United States[J].Bmc Neurol,2013,13(1):17.
[6] 戴晓蓉,魏青,王浩,等.脑卒中后下肢深静脉血栓形成的危险因素探讨[J].中国临床神经科学,2016,24(1):70-74,83.
[7] Faurschou M,Obel N,Baslund B.High Risk of Pulmonary Embolism and Deep Venous Thrombosis but Not of Stroke in Granulomatosis With Polyangiitis (Wegener’s)[J].Arthritis Care Res (Hoboken),2014,66(12):1910-1914.
[8] 周小燕.Autar量表在脑卒中患者下肢深静脉血栓形成风险评估中的应用[J].护士进修杂志,2015,30(21):2000-2001.
[9] Chen X L,Pan L,Wang Y.Validity of Padua risk assessment scale for assessing the risk of deep venous thrombosis in hospitalized patients[J].Zhonghua Nei Ke Za Zhi,2018,57(7):514-517.
[10] 内科住院患者静脉血栓栓塞症预防中国专家建议写作组,中华医学会呼吸病学分会,中华医学会老年医学分会,等.内科住院患者静脉血栓栓塞症预防中国专家建议(2015)[J].中华结核和呼吸杂志,2015,38(7):484-491.
[11] Büyüky lmaz F,endir M, Autar R,et al.Risk level analysis for deep vein thrombosis (DVT): A study of Turkish patients undergoing major orthopedic surgery[J].J Vasc Nurs,2015,33(3):100-105.
[12] 谢渊,牟绍玉,张川林,等.3种血栓风险评估表对骨科大手术患者下肢深静脉血栓形成的应用价值研究[J].检验医学与临床,2017,14(9):1243-1245.
[13] 庄伟清,张杰.改良Autar量表在脑卒中患者深静脉血栓预防中的应用[J].解放军护理杂志,2014,31(12):68-70.
[14] Kim S Y,Lee K T,Mun G H. Postoperative Venous Insufficiency in Microsurgical Lower Extremity Reconstruction and Deep Vein Thrombosis Potential as Assessed by a Caprini Risk Assessment Model[J].Plast Reconstr Surg,2015,136(5):1094-1102.
[15] 周海霞,唐永江,王岚,等.Caprini风险评估模型筛选内科住院患者静脉血栓栓塞症的有效性[J].中华医学杂志,2013,93(24):1864-1867. |
| [1] |
. [J]. 滨州医学院学报, 2019, 42(1): 64-65. |
|
|
|
|
