医学信息2025，Vol.38Issue(20)：21-25,5.DOI:10.3969/j.issn.1006-1959.2025.20.004
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
Comparison of Predictive Value of CHA2DS2-VASc Score and Padua Score for Thromboembolism Risk in Patients with Non-valvular Atrial Fibrillation
摘要
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.关键词
CHA2DS2-VASc评分/Padua评分/非瓣膜性房颤Key words
CHA2DS2-VASc score/Padua score/Non-valvular atrial fibrillation分类
临床医学引用本文复制引用
戴喜艳,严新美,黎兰芳,梁君红..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):21-25,5.基金项目
新余市社会发展指导性科技计划项目(编号:20233090821) （编号:20233090821）
