Pasqualetti P, Di Lauro G, Festuccia V, Giandomenico G, Casale R
Department of Internal Medicine, School of Medicine and Surgery, University of L'Aquila, Italy.
Panminerva Med. 1992 Apr-Jun;34(2):65-8.
The Child-Turcotte classification, as modified by Pugh et al., was recorded on diagnosis in 598 completely followed patients with cirrhosis of the liver. The variables that comprise the Pugh classification are ascites, encephalopathy, serum albumin, serum total bilirubin, and prothrombin time. The Pugh score categorized in three classes (class A = score 5 or 6, class B = score 7 to 11, class C = score 12 to 15) separates the series into three groups of approximately equal size with significant differences in median survivals (p less than 0.005) and in survival curves (p less than 0.0001). The characteristics of simplicity, availability, low cost and good discrimination power make the Pugh classification a very useful method to estimate prognosis in patients with cirrhosis of the liver.
经普格等人修改后的Child-Turcotte分类法,记录于598例完全随访的肝硬化患者的诊断中。构成普格分类法的变量包括腹水、肝性脑病、血清白蛋白、血清总胆红素和凝血酶原时间。普格评分分为三类(A类=评分5或6,B类=评分7至11,C类=评分12至15),该分类法将该系列患者分为三组,每组大小大致相等,三组患者的中位生存期(p<0.005)和生存曲线(p<0.0001)存在显著差异。普格分类法具有简单、实用、成本低和鉴别力强的特点,使其成为评估肝硬化患者预后的一种非常有用的方法。