摘要
目的探讨通过急性生理与慢性健康评分(APACHEⅡ)评分判断哮喘严重急性发作时机械通气治疗的价值。方法回顾性病例对照研究,比较15例需机械通气治疗的哮喘严重急性发作患者与78例非机械通气治疗的哮喘住院患者APACHEⅡ评分的差异,计算敏感度、特异度和准确度等指标。结果机械通气组APACHEⅡ评分中位数20,最大值30,最小值12,对照组中位数8.5,最大值17,最小值6,组间比较P<0.01。APACHEⅡ≥12时,敏感度为100%,特异度为89.7%,准确度为91.39%;APACHEⅡ≥18时,敏感度为66.7%,特异度为100%,准确度为94.62%。结论APACHEⅡ评分可做为判断哮喘急性发作机械通气治疗的有效指标。
Objectives To investigate the value of APACHE Ⅱ score to judge mechanical ventilatoin for asthmatic attacks. Methods A retrospective case-control study was used to examine the validity and accuracy for 15 asthmatic patients with severe attcks needing mechanical ventilation（ case group） and 78 asthmatic patients with mederat or severe attacks unusing mechanical ventilation（ control group）. Resuits The APACHE Ⅱ score in case group was extremely higher than control group[20（ 12 to 30）vs 8.5 （6 to 17 ） ] [ median （range） ] of） （P 〈 0.01 ）. There were two choosable cutoffs of APACHE II to judge mechanical ventilation for asthmatic attacks： 12 （ sensitivety： 100%, specificity： 89. 7%, accuracy： 91.39%） and（sensitivety：66.7%,specificity：100%,accuracy：94.62%）18. Conclusion APACHE Ⅱ score can be used to judging mehanlcal ventilation for asthmatic attacks.
出处
《临床内科杂志》
CAS
2006年第5期312-314,共3页
Journal of Clinical Internal Medicine
