| 终末期肝病模型评分对肝硬化和重型肝炎患者预后评估的临床意义 |
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| 引用本文： | 沈美龙,窦宇明,沈桂堂,邢同京,咸建春.终末期肝病模型评分对肝硬化和重型肝炎患者预后评估的临床意义[J].实用肝脏病杂志,2007,10(3):165-166. |
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| 作者姓名： | 沈美龙 窦宇明 沈桂堂 邢同京 咸建春 |
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| 作者单位： | 225300,江苏省泰州市人民医院肝病科 |
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| 摘 要： | 目的探讨终末期肝病模型(MELD)评分对肝病患者预后预测的准确性。方法肝硬化患者228例,重型肝炎患者156例,分别计算Child-Pugh及MELD评分,分析两种评分系统对肝病预后评估的优缺点。结果MELD评分与Child评分显著相关,相关系数为0.74,MELD评分的预测准确率显著优于Child-Pugh评分(Z=1.96,P<0.05)。结论MELD评分较好地预测肝病患者死亡发生的危险度,其评估效率优于Child-Pugh分级。
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| 关 键 词： | 肝硬化 重型肝炎 终末期肝病模型 预后评估 |
| 修稿时间： | 2006-11-29 |
The prognostic value of the model for end-stage liver disease score in patients with liver cirrhosis and severe hepatitis |
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| SHEN Meilong , DOU Yuming , SHEN Guitang ,et al..The prognostic value of the model for end-stage liver disease score in patients with liver cirrhosis and severe hepatitis[J].Journal of Clinical Hepatology,2007,10(3):165-166. |
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| Authors: | SHEN Meilong DOU Yuming SHEN Guitang |
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| Affiliation: | SHEN Meilong , DOU Yuming , SHEN Guitang , et al. Departmeng of Liver Disease, Peoples Hospital, Taizhou, Jiangsu, 225300, China |
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| Abstract: | Objective To investigate the prognostic value of the model for end-stage liver disease score in patients with liver cirrhosis and severe hepatitis. Methods The MELD and Child-Pugh scores of 228 patients with liver cirrhosis and 156 patients with severe hepatitis were recorded, and the prognostic value were compared. Results MELD scores had significant relationship with Child-Pugh scores, with the reference of 0.74 (P<0.05). MELD scores had more predictability than that of Child-Pugh scores(Z =1.96, P<0.05). Conclusion The MELD score had higher prognostic value of mortality rate in patients with liver cirrhosis and severe hepatitis than Child-Pugh scores. |
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| Keywords: | Liver cirrhosis Severe hepatitis MELD score Prognostic value |
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