实用肝脏病杂志2011，Vol.14Issue(2)：129-131,3.DOI:10.3969/j.issn.1672-5069.2011.02.017
MELD-Na模型评分对评估肝硬化食管胃底静脉曲张出血患者短期预后的临床价值
The short-term prognostic value of the model for end-stage liver disease including serum sodium in liver cirrhosis patients with esophageal-gastric varices bleeding
方年富 1曾静 2程飞 1余小燕 1陈敏艳 1丁元军 1余恕玉1
作者信息
- 1. 333000,江西省景德镇市第二医院消化科
- 2. 景德镇市疾病控制中心
- 折叠
摘要
Abstract
Objective To evaluate the clinical value of Child-Pugh,model of end-stage liver disease (MELD),and the MELD-Na model in the short-term predicting the rebleeding in patients of decompensated liver cirrhosis with esophageal-gastric varices bleeding (EGVB). Methods The patients were graded with MELD,Child-Pugh and MELD-Na and observed their rebleeding and mortality;The accuracy of the three models on predicting survival were analyzed using the area under the receiver operating characteristic (ROC)curve (AUC). Results 49 patiens (52.13％)had re-bleeding within 3 months;the Child-Pugh,MELD and MELD-Na scores in patients with re-bleeding and non-bleeding were not significantly different;15 patients died within 3 months,whose MELD-Na score(26.6412.50)was higher than those of survivors(20.354.54,P＜0.001);In determining the prognosis of patients with ROC curve AUC comparison,Child-Pugh classification (0.703)＞MELD-Na score (0.661)＞MELD score(0.627). Conclusion Child-Pugh score,MELD score and MELD-Na score can effectively predict the shortterm prognosis of patients with decompensated liver cirrhosis,but can not predict the short-term rebleeding.关键词
失代偿期肝硬化/食管胃底静脉曲张出血/MELD评分/Child-Pugh分级引用本文复制引用
方年富,曾静,程飞,余小燕,陈敏艳,丁元军,余恕玉..MELD-Na模型评分对评估肝硬化食管胃底静脉曲张出血患者短期预后的临床价值[J].实用肝脏病杂志,2011,14(2):129-131,3.
