乳酸水平和APACHEⅢ对ICU危重患者预后临床评价的应用比较  

CLINICAL VALUATION COMPARISON OF LACTATE AND APACHEⅢON THE PROGNOSIS OF ICU PATIENTS i

作　　者：李政霖[1] 李元忠[1] 郭玉梅[1] 

机构地区：[1]大连市中心医院,辽宁大连116033

出　　处：《承德医学院学报》2007年第1期17-20,共4页Journal of Chengde Medical University

摘　　要：目的:探讨血乳酸水平监测对于ICU危重患者预后的评价和APACHEⅢ相比较是否存在一致性。方法:对于连续收治的85例危重患者,入ICU时即进行第一次血乳酸的测定和APACHEⅢ评分,记录住ICU的天数及住ICU期间12小时测一次血乳酸,并且记录死亡危重患者死亡前的乳酸值,连续分析、评估乳酸水平与APACHEⅢ评分对于ICU患者预后的关系。结果:乳酸正常(＜2．9mmol/L)的危重患者死亡率为33%,乳酸增高(＞2．0mmol/L)的危重患者死亡率为72%。有显著差异(P＜0．01)。乳酸升高与乳酸正常危重患者的评分相比较有统计学方面的差异。结论:血乳酸水平可作为相对独立的判断危重患者预后的参考指标之一,并且与APACHEⅢ有良好的相关性。Objective：To compare monitoring lactate with APACHEⅢ on the prognosis evaluation of ICU critical ill patients and discuss the consistency of them.Methods：For the 85 consecutive ICU critical ill patients, measuring lactate and APACHEⅢ scores after first admitted, recording the duration of ICU, measuring the lactate every 12 hours in ICU, continuing to analysis and evaluate the relationship of lactate and APACHEⅢ on the prognosis of critical ill patients. Results： The mortality of critical ill patients with normal lactate（〈2. 0mmol/L） is 33%, the mortality of critical ill patients with elevated lactate is 72%. There is significant difference （P〈0.01）.There is statistics difference of APACHEⅢ scores of critical ill patients with normal and elevated lactate.Conclusions： Lactate can be one of independent indicators on the prognosis of critical ill patients and well consistent with APACHEⅢ.

关 键 词：血乳酸 APACHEⅢ 危重病 死亡率 

分 类 号：R446.1[医药卫生—诊断学]