2018 年第 9 期 第 13 卷

Wells量表与修正的Geneva量表对肺栓塞的评估价值比较

Predication values of Wells score and revised Geneva score for pulmonary embolism

作者：苏成铭司冰心甄贞罗惠兰

英文作者：

单位：100142北京，空军总医院医务部保健办公室（苏成铭、司冰心、甄贞），老年病研究所（罗惠兰）

英文单位：

关键词：肺栓塞；Wells量表；Geneva量表

英文关键词：

• 摘要：

• 【摘要】目的    比较Wells量表与修正的Geneva量表对肺栓塞的评估价值。方法    选取2015年5月至2016年9月空军总医院收治的116例肺栓塞患者，分别使用Wells量表与修正的Geneva量表对患者进行评分并进行危险度分层。结果    按照Wells量表的评估结果，116例患者中低危59例（50.9%），中危54例（46.6%），高危3例（2.6%）；按照修正的Geneva量表的评估结果，116例患者中低危32例（27.6%），中危68例（58.6%），高危16例（13.8%）。2种量表评估肺栓塞危险度分层比较，差异有统计学意义（P＜0.05）。结论    对于住院患者，与Wells量表比较，修正的Geneva量表可将更多患者归类到中、高危组。

• 【Abstract】Objective    To evaluate the values of the Wells score and revised Geneva score in prediction of pulmonary embolism. Methods    From May 2015 to September 2016, 116 cases of pulmonary embolism at Air Force General Hospital were included. Risk stratification of the disease was assessed by the Wells score and Geneva score respectively. Results    According to the Wells score, 116 patients were divided into middle to low risk(59 cases, 50.9%), middle risk(54 cases, 46.6%) and high risk(3 cases, 2.6%). According to the revised Geneva score, 116 patients were divided into middle to low risk(32 cases, 27.6%), middle risk(68 cases, 58.6%) and high risk(16 cases, 13.8%). There was a statistically significant difference between the two scores in assessing the risk of pulmonary embolism(P＜0.05). Conclusion    In risk assessment of pulmonary embolism, more patients will be classified to high risk by the revised Geneva score than the Wells score.