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SOFA评分对颅脑损伤患者病情及预后的评价 被引量:5

Application of SOFA Score in Evaluation of Condition and Prognosis of Patients with Craniocerebral Injury
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摘要 目的探讨序贯器官衰竭估计(SOFA)评分系统对颅脑损伤患者病情及预后的评价。方法对105例符合条件的急性颅脑损伤患者进行回顾性分析,按临床结局分为死亡组(n=41)和存活组(n=64),记录入院后每天的相关资料,进行SOFA评分,并对入院即刻(SOFA1)和入院72h(SOFA2)SOFA评分进行分析。结果死亡组和存活组SOFA1、SOFA2及△SOFA(SOFA1与SOFA2之差),差异有统计学意义(均P<0.01)。SOFA2评分越高,病死率越高。结论 SOFA评分结果与颅脑损伤患者的预后有关。动态应用SOFA评分,同时辅以其他指标,可以为颅脑损伤患者的病情及预后评估提供有价值的参考。 Objective To investigate the application of sequential organ failure assessment(SOFA) score in the evaluation of the condition and prognosis of patients with craniocerebral injury.Method A retrospective analysis was performed in 105 eligible patients with craniocerebral injury.These patients were divided into death group(n=41) and survival group(n=64) according to clinical outcome.Clinical data were recorded every day and SOFA score was performed at the beginning of admission(SOFA1) and 72 hours after admission(SOFA2).Results There were significant differences in SOFA1,SOFA2 and △SOFA between the two groups(P0.01).The death rate goes up when SOFA2 become higher.Conclusion The SOFA score is positively correlated with the prognosis of patients with craniocerebral injury.Dynamic SOFA score combined with other indicators can provide valuable information for evaluating the condition and prognosis of patients with craniocerebral injury.
作者 刘辉 侯荣
出处 《南昌大学学报(医学版)》 CAS 2011年第12期33-34,38,共3页 Journal of Nanchang University:Medical Sciences
关键词 颅脑损伤 序贯器官衰竭估计评分 预后 craindereral injury sequential organ failure assessment prognosis
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参考文献4

  • 1Ferraris V A,Ferraris S P.Risk stratification and comorbidity[].Cardiac surgery in the a-dult.2003
  • 2Ceriani R,Mazzoni M,Bortone F,et al.Application of the sequential organ failure assessment score to cardiac surgical patients[].Chest.2003
  • 3Minne L,Abu-Hanna A,de Jonge E.Evaluation of SOFA-based models for predicting mortality in the ICU:A systematic review[].Journal of Critical Care.2008
  • 4Patila T,Kukkonen S,Vento A,et al.Relation of the Sequen-tial Organ Failure Assessment score to morbidity and mortalityafter cardiac surgery[].The Annals of Thoracic Surgery.2006

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