摘要
目的分析APACHEⅡ和APACHEⅢ评分系统对腹部外科危重患者死亡风险的评估价值。方法收集261例腹部外科危重患者入ICU后首日与APACHEⅡ和APACHEⅢ评分有关的资料,分别计算死亡组、存活组的两种评分以及存活概率(Ps),并将Ps与实际病死率进行对比,同时计算单病种评分,并加以对比分析。结果死亡组APACHEⅡ和APACHEⅢ评分均明显高于存活组(P<0.01)。Ps≤0.5者实际病死率明显高于Ps>0.5者(P<0.01)。单病种评分:重症胰腺炎总评分最高,病死率最高;胃肠道恶性肿瘤总评分最低,病死率也最低。结论APACHEⅡ和APACHEⅢ评分系统均可有效地评估腹部外科危重患者死亡风险,在腹部外科危重病单病种评估上APACHEⅢ优于APACHEⅡ。
Objective To compare the reliability of acute physiology and chronic health evaluation Ⅱ （APACHE Ⅱ） and APACHE Ⅲ to estimate mortality of critical patients in abdominal surgery. Methods Two hundred and sixty-one critical patients in abdominal surgery were included in this study. The clinical data of the first day in ICU were collected and evaluated with both APACHE Ⅱ and APACHE Ⅲ prognostic systems and statistical analysis were performed, Probability of survival （Ps） was compared with actual mortality, Results The scores of APACHE Ⅱ and APACHE Ⅲ of death group were significantly higher than those of survival group respectively （P 0.01）. The actual mortality of patients whose Ps was no more than 0. 5 was higher than that whose Ps was over 0.5 （P〈0.01）. With two prognostic systems, the scores and mortality were the highest inpancreatitis patients and the lowest in patients with gastrointestinal malignant tumor. Conclusion APACHE Ⅱ and APACHE Ⅲ prognostic systems can be effectively applied to the estimation of mortality of critical patients in abdominal surgery. For certain diagnostic categories, APACHE Ⅲ is better than APACHE Ⅱ prognostic system.
出处
《中国普外基础与临床杂志》
CAS
2006年第1期97-99,共3页
Chinese Journal of Bases and Clinics In General Surgery
