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4种评分系统对肝硬化合并感染患者预后的评估价值

姚运海 甘建和 赵卫峰

姚运海, 甘建和, 赵卫峰. 4种评分系统对肝硬化合并感染患者预后的评估价值[J]. 临床肝胆病杂志, 2019, 35(1): 87-91. DOI: 10.3969/j.issn.1001-5256.2019.01.016.
引用本文: 姚运海, 甘建和, 赵卫峰. 4种评分系统对肝硬化合并感染患者预后的评估价值[J]. 临床肝胆病杂志, 2019, 35(1): 87-91. DOI: 10.3969/j.issn.1001-5256.2019.01.016.
Yao YunHai, Gan JianHe, Zhao WeiFeng. Value of four scoring systems in evaluating the prognosis of cirrhotic patients with infection[J]. J Clin Hepatol, 2019, 35(1): 87-91. DOI: 10.3969/j.issn.1001-5256.2019.01.016.
Citation: Yao YunHai, Gan JianHe, Zhao WeiFeng. Value of four scoring systems in evaluating the prognosis of cirrhotic patients with infection[J]. J Clin Hepatol, 2019, 35(1): 87-91. DOI: 10.3969/j.issn.1001-5256.2019.01.016.

4种评分系统对肝硬化合并感染患者预后的评估价值

DOI: 10.3969/j.issn.1001-5256.2019.01.016
基金项目: 

医学科学研究基金(YWJKJJHKYJJ-G17016); 

详细信息
  • 中图分类号: R575.2

Value of four scoring systems in evaluating the prognosis of cirrhotic patients with infection

Research funding: 

 

  • 摘要: 目的探讨Child-Turcotte-Pugh评分(CTP)、终末期肝病模型(MELD)评分、慢性肝衰竭-器官衰竭评分(CLIF-SOFA)以及亚太肝病学会慢加急性肝衰竭研究工作组评分(AARC)评价终末期肝病(ESLD)合并感染的预后价值。方法回顾性分析2014年1月-2017年12月苏州大学附属第一医院收治的肝硬化合并感染患者的临床资料,根据住院期间预后情况将患者分为内科综合治疗病情稳定者(A组)和住院期间治疗无效死亡、自动出院放弃治疗、内科治疗无效行肝移植者(B组)。比较2组患者一般资料,住院期间临床指标最差值,CTP评分、MELD评分、CLIF-SOFA评分、AARC评分、器官替代治疗(包括机械通气、人工肝支持系统、肾脏替代治疗等)。计量资料2组间比较采用t检验或Mann-Whitney U检验;计数资料2组间比较采用χ2检验。将单因素分析中差异有统计学意义的变量进行logistic回归分析;利用受试者工作特征曲线(ROC)分析4种评分系统预测患者预后效能。结果最终纳入522例肝硬化合并感染患者,存活381例,死亡141例,病死率为27. 01%。单因素分析显示PLT、TBil...

     

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  • 收稿日期:  2018-08-31
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