摘要
目的 :应用急性生理学和慢性健康状况评分 (APACHE )评价重症监护病房 (ICU)患者的病情和预后 ,并与 APACHE 进行比较。方法 :对我院 2 0 0 0年 7月— 2 0 0 2年 1月 ICU中 87例危重患者的资料 (其中存活组 6 6例 ,死亡组 2 1例 )用《危重疾病评分系统》中 APACHE 和 APACHE 进行评分 ,并将 APACHE 中死亡概率 (Ps)与实际病死率进行对比。结果 :死亡组 APACHE 和 APACHE 分值均明显高于存活组(P均 <0 .0 1) ;APACHE 和 APACHE 分值与病死率呈正相关 ,APACHE >6 0分者病死率明显增加 ,Ps≤ 0 .5者实际病死率明显高于 Ps>0 .5者 (P<0 .0 1)。结论 :APACHE 分值配合 APACHE 的 Ps可较好地评价危重疾病的严重程度 。
Objective:To evalaute the condition and prognosis of patients in ICU with acute physiology and chronic health evaluations Ⅲ(APACHEⅢ),and the results were compared with that of APACHEⅡ.Methods:Clinical data from 87 patients in ICU (survivor group 66 cases,nonsurvivor group 21 cases ) were evaluated with both APACHEⅢ and APACHEⅡ score systems,and probability of mortality( Ps ) of APACHEⅡ score was compared with actual mortality.Results:APACHEⅢ and APACHEⅡ scores of nonsurvivors were significantly higher than those of survivors (all P <0 01).APACHEⅢ and APACHEⅡ scores were positively correlated with the mortality.The mortality were significantly higher when APACHEⅢ>60.The actual mortality when Ps ≤0 5 was higher than that of Ps >0 5 ( P <0 01).Conclusions:With the use of APACHEⅢ and Ps of APACHEⅡ the severity of illness and prognosis could be satisfactorily evaluated in critical patients.
出处
《中国危重病急救医学》
CAS
CSCD
2002年第5期303-304,共2页
Chinese Critical Care Medicine
关键词
危重病
急性生理学
慢性健康状况评分Ⅲ
慢性健康状况评分Ⅱ
critical illness
acute physiology and chronic health evaluationⅢ score
acute physiology and chronic health evaluationⅡ score
