APACHEⅡ评分在有机磷农药中毒中的运用及回归模型建立  

The use of acute physiology and chronic health evaluationⅡ (APACHEⅡ)score and establishment of a regression model in organophosphate insecticide poisoning

作　　者：许树耘[1] 胡海[1] 邹利群[1] 

机构地区：[1]四川大学华西医院急诊科,四川省成都610041

出　　处：《中华急诊医学杂志》2005年第9期753-756,共4页Chinese Journal of Emergency Medicine

摘　　要：目的应用急性生理学及慢性健康状况评分(APACHEⅡ)评价有机磷农药中毒患者的病情危重程度并判断其预后,以证明其应用的有效性.方法连续观察入EICU有机磷农药中毒资料完整患者41例,分别计算各自APACHEⅡ评分,并进行验证,建立回归模型.结果41例患者的APACHEⅡ评分为0～34分.31例存活者评分(5.48±4.43)分,10例死亡者评分(23.1±5.55)分,两者差异显著性(P＜0.01).进行logistic回归分析后得到死亡风险模型.结论APACHEⅡ评分系统可应用于有机磷农药中毒患者危重程度及预后的评估.Objective To assess the severity and the prognosis of the organophosphate insecticide poisoning by using the APACHE Ⅱ score. Methods Forty-one patients with organophosphate insecticide poisoning in EICU were studied. After APACHE Ⅱ score was calculated, the regression model was established. Results APACHE Ⅱ score ranged from 0 to 34. APACHE Ⅱ score was （5.48 ± 4.43） in the 31 survivors and （23.1 ± 5.55） in the dead. The scores were signifieaxntly different between the two groups （ P 〈 0.01）. There was a significant correlation between APACHE Ⅱ score and mortality. Conclusion APACHE Ⅱ score system can be used to predict the prognosis of organophosphate insecticide poisoning.

关 键 词：急性生理学及慢性健康状况评分Ⅱ 有机磷中毒 预后 APACHEⅡ评分系统 有机磷农药中毒 回归模型 急性生理学及慢性健康状况评分 病情危重程度 中毒患者 差异显著性 

分 类 号：R595.4[医药卫生—内科学]