[1]戴喜艳,严新美,黎兰芳,等.CHA2DS2-VASc和Padua评分对非瓣膜性房颤患者发生血栓栓塞风险的预测价值比较[J].医学信息,2025,38(20):21-25.[doi:10.3969/j.issn.1006-1959.2025.20.004]
 DAI Xiyan,YAN Xinmei,LI Lanfang,et al.Comparison of Predictive Value of CHA2DS2-VASc Score and Padua Score for ThromboembolismRisk in Patients with Non-valvular Atrial Fibrillation[J].Journal of Medical Information,2025,38(20):21-25.[doi:10.3969/j.issn.1006-1959.2025.20.004]
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CHA2DS2-VASc和Padua评分对非瓣膜性房颤患者发生血栓栓塞风险的预测价值比较()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年20期
页码:
21-25
栏目:
临床信息学
出版日期:
2025-10-15

文章信息/Info

Title:
Comparison of Predictive Value of CHA2DS2-VASc Score and Padua Score for ThromboembolismRisk in Patients with Non-valvular Atrial Fibrillation
文章编号:
1006-1959(2025)20-0021-05
作者:
戴喜艳严新美黎兰芳梁君红
新余市人民医院全科医学科,江西 新余 338000
Author(s):
DAI Xiyan YAN Xinmei LI Lanfang LIANG Junhong
Department of General Medical, Xinyu People’s Hospital, Xinyu 338000, Jiangxi, China
关键词:
CHA2DS2-VASc评分Padua评分非瓣膜性房颤
Keywords:
CHA2DS2-VASc score Padua score Non-valvular atrial fibrillation
分类号:
R541.7+5
DOI:
10.3969/j.issn.1006-1959.2025.20.004
文献标志码:
A
摘要:
目的 研究CHA2DS2-VASc和Padua评分对非瓣膜性房颤患者发生血栓栓塞风险的预测价值。方法 选取2023年1月-2024年5月我院诊治的200例非瓣膜性房颤患者为研究对象,其中7例患者发生血栓栓塞(栓塞组)。采用单因素、多因素Logistic回归分析非瓣膜性房颤患者发生血栓栓塞的独立危险因素,采用ROC曲线分析CHA2DS2-VASc评分、Padua评分、CHA2DS2-VASc评分+Padua评分的预测价值。结果 两组年龄、性别、基础疾病、左室射血分数(LVEF)比较,差异无统计学意义(P>0.05),而两组CHA2DS2-VASc评分、左心房内径(LAD)、Padua评分比较,差异有统计学意义(P<0.05);多因素Logistic 回归分析显示,CHA2DS2-VASc评分、LAD、Padua评分过高均是非瓣膜性房颤患者发生血栓栓塞的独立危险因素(P<0.05);ROC曲线分析显示,CHA2DS2-VASc评分与Padua评分联合预测非瓣膜性房颤患者发生血栓栓塞AUC、敏感度、特异度均高于单独CHA2DS2-VASc评分、Padua评分(P<0.05)。结论 CHA2DS2-VASc评分和Padua评分对非瓣膜性AF患者发生血栓栓塞风险均具有一定的预测价值,且存在一定的优劣,两者联合评价可提升准确性,并为预防非瓣膜性AF患者发生血栓栓塞提供一定的参考。
Abstract:
Objective To study the predictive value of CHA2DS2-VASc score and Padua score for the risk of thromboembolism in patients with non-valvular atrial fibrillation. Methods A total of 200 patients with non-valvular atrial fibrillation diagnosed and treated in our hospital from January 2023 to May 2024 were selected as the research objects, of which 7 patients had thromboembolism (embolization group). Univariate and multivariate Logistic regression were used to analyze the independent risk factors of thromboembolism in patients with non-valvular atrial fibrillation. ROC curve was used to analyze the predictive value of CHA2DS2-VASc score, Padua score, CHA2DS2-VASc score+Padua score. Results There was no significant difference in age, gender, basic disease and left ventricular ejection fraction (LVEF) between the two groups (P>0.05), while the CHA2DS2-VASc score, left atrial diameter (LAD) and Padua score in the two groups were statistical significance (P<0.05). Multivariate Logistic regression analysis showed that high CHA2DS2-VASc score, LAD and Padua score were independent risk factors for thromboembolism in patients with non-valvular atrial fibrillation (P<0.05). ROC curve analysis showed that the AUC, sensitivity and specificity of CHA2DS2-VASc score combined with Padua score in predicting thromboembolism in patients with non-valvular atrial fibrillation were higher than those of CHA2DS2-VASc score and Padua score alone (P<0.05). Conclusion CHA2DS2-VASc score and Padua score have certain predictive value for the risk of thromboembolism in patients with non-valvular atrial fibrillation, and there are certain advantages and disadvantages. The combined evaluation of the two can improve the accuracy and provide a reference for the prevention of thromboembolism in patients with non-valvular atrial fibrillation.

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更新日期/Last Update: 1900-01-01