艾滋病并肺炎患者的急性生理学和慢性健康状况评分系统Ⅲ评分分析  

Analysis of acute physiology and chronic health evaluation Ⅲ in the patients with pneumonia associated with acquired immune deficiency syndrome

作　　者：陈劲峰[1] 唐小平[1] 蔡卫平[1] 贾卫东[1] 

机构地区：[1]广州市第八人民医院感染病科,广东广州510060

出　　处：《中国呼吸与危重监护杂志》2005年第4期278-281,共4页Chinese Journal of Respiratory and Critical Care Medicine

基　　金：广州市重大科技攻关项目(2001-Z-023-01)

摘　　要：目的评估分析急性生理学和慢性健康状况评分系统Ⅲ(APACHEⅢ)对判断艾滋病并肺炎患者病情的严重性和预后的价值.方法整理2003年1～12月住院艾滋病并肺炎患者74例的临床资料,采用APACHEⅢ评分评估艾滋病并肺炎患者病情的严重性和预后.结果74例患者中,死亡17例,存活57例,两者APACHEⅢ分值差异显著;APACHEⅢ分值越高,重症肺炎患者比例增高,治疗效果越差,死亡率增高;APACHEⅢ评分分值≥60者的死亡率明显增高;死亡与入院时APACHEⅢ分值相关(r=0.444,P=0.001),与死亡前的APACHEⅢ分值高度相关(r=0.965,P=0.001).结论APACHEⅢ评分有助于预测艾滋病并肺炎患者病情的严重性和预后.Objective To assese the significance of acute physiology and chronic health evaluation Ⅲ (APACHEⅢ) scores in predicting the severity and prognosis of the patients with pneumonia associated with acquired immune deficiency syndrome (AIDS).Methods The clinical data of seventy-four inpatients with pneumonia associated with AIDS were evaluated with APACHEⅢ scoring system from January to December,2003.Results There were fifty-seven cases in survival group and twenty-one cases in death group.The scores of the non-survivors were remarkably higher than those of the survivors.A higher APACHEⅢ scores were in line with a higher mortality,a higher risk for severe pneumonia.The rate of death was increased remarkably when the scores of APACHEⅢ were above 60.Conclusion APACHEⅢ score system has a high value in predicting the risk of infection and evaluating the severity and prognosis in patients of pneumonia associated with AIDS.

关 键 词：艾滋病 肺炎 急性生理学 慢性健康状况 评分系统 Ⅲ评分 肺部感染 

分 类 号：R512.91[医药卫生—内科学] R563.1[医药卫生—临床医学]