论文部分内容阅读
目的 :探讨并改良心脏恶液质综合征 (SCC)的积分诊断标准及其意义。方法 :回顾与前瞻性结合 ,分析 30 0例 SCC患者的临床症状、体征和实验室检查 ,提出积分诊断标准 ,并判断其临床意义。结果 :积分 >2 8分确诊 ,2 5～ 2 7分可疑 ,<2 5分不能诊断 ,积分值 2 8～ 32分为轻度 ,33～ 36分为中度 ,37～ 4 0分为重度。本组中 ,可疑 7例 ,轻度 112例 ,中度 134例 ,重度 4 7例 ,重度组死亡率显著高于轻度组 (x2 =36 .31,P<0 .0 0 1)和中度组 (x2 =2 0 .10 ,P<0 .0 1) ,中度组显著高于轻度组 (x2 =4 .4 39,P<0 .0 5)。结论 :改良后的 SCC标准简便、实用、敏感性好 ,特异性高 ,具有一定的推广价值 ,对指导治疗 ,评定疗效 ,判断严重程度、进展有着重要的意义。
Objective: To explore and improve the integrated diagnostic criteria of cardiac cachexia syndrome (SCC) and its significance. Methods: To retrospectively and prospectively combine the clinical symptoms, signs and laboratory tests of 30 0 SCC patients, the integral diagnostic criteria were put forward and their clinical significance was evaluated. Results: Score> 28 points were diagnosed, 25 ~ 27 points suspicious, <25 points can not be diagnosed, the integral value of 28 to 32 were mild, 33 to 36 were moderate, 37 to 40 were divided into severe . In this group, 7 cases were suspicious, 112 cases were mild, 134 cases were moderate and 47 cases were severe. The mortality in severe group was significantly higher than that in mild group (x2 = 36.31, P <0.001) Degree group (x2 = 2.010, P <0.01), moderate group was significantly higher than mild group (x2 = 4.39, P <0.05). Conclusion: The modified SCC standard is simple, practical, sensitive, specific, and has some promotional value. It is of great significance for guiding the treatment, assessing the curative effect, judging the severity and progress.