【摘要】 目的比较血栓风险评估量表Autar和Caprini对脊柱术后患者静脉血栓栓塞症(VTE)风险发生的预测效果。方法采用病例对照研究法,回顾性将2018年10月至2019年12月在本院行脊柱手术后发生VTE的214例患者作为观察组和无VTE发生的214例患者作为对照组进行病例对照研究。统计两组患者相关资料,用Autar和Caprini血栓量表对428例脊柱手术患者血栓发生风险进行评估,比较两表对脊柱术后患者VTE发生的预测效果。结果血栓量表Autar和Caprini预测VTE的ROC曲线下面积AUC分别为(0.864±0.018)和(0.816±0.020),Z=2.009 (P <0.05),二者预测效果存在差异并有统计学意义。结论两血栓量表Autar和Caprini对脊柱术后患者发生VTE风险均有一定的预测能力,但Autar量表的效能高于Caprini,更适合用于脊柱手术患者术后发生VTE的风险评估。更多还原

【Abstract】 Objective To compare and retrospectively analyze the predictive effectiveness of two thrombosis risk assessment scales-the Autar scale and the Caprini scale in assessing the risk of deep venous thrombosis and pulmonary embolism in the inpatients undergoing spinal surgery operations. Methods Using a retrospective case-control study, 214 patients with VTE after spinal operation in the department of spinal surgery Affiliated Hospital of Binzhou Medical College from October 2018 to December 2019 were selected as the case group, and 214 patients without VTE during spinal surgery in the same period were selected as the control group. Our researcher collect their clinical data. The risk of thrombosis in 428 patients undergoing spinal surgery was evaluated by the Autar scale and the Caprini scale respectively. The predictive effectiveness of the two scales on VTE after spinal surgery were observed, analyzed and compared. Results The areas under the ROC curve predicted by Autar scale were(0.864±0.018) and the Caprini scale were(0.816±0.020) respectively. The comparison of the areas under the ROC curve between the two scales showed that there was a significant difference in the prediction effect between the Autar and Caprini scale, Z=2.009(P<0.05). Conclusion Both the Autar scale and the Caprini scale can predict the risk of postoperative VTE in patients undergoing spinal surgery, but the efficacy of Autar scale is higher than Caprini scale, which is more suitable for the risk assessment of postoperative VTE in patients undergoing spinal surgery.更多还原