APACHEⅡ评分与医院感染相关性研究  

Pertinency Between Patients′APACHEⅡ Scores and Nosocomial Infection

作　　者：王力红[1] 马文晖[1] 张京利[1] 石海鸥[1] 崔晓华[1] 

机构地区：[1]首都医科大学宣武医院,北京100053

出　　处：《中华医院感染学杂志》2007年第6期651-653,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨急性生理功能和慢性健康状况评分系统Ⅱ(APACHEⅡ)与医院感染发生的相关性。方法选取6个月入住重症监护病房(ICU)的病例1 007例,均进行了APACHEⅡ评分,并对其发生医院感染进行了前瞻性调查。结果随着APACHEⅡ评分分值增加,医院感染发生率、ICU患者死亡率均有增加的趋势,且均呈线性关系。结论APACHEⅡ评分不但能客观评估疾病的严重程度、评价医疗措施效果、估计疾病预后,还可作为预测医院感染发生的主要方法之一。OBJECTIVE To investigate the pertinency between acute physiology and chronic health evaluation Ⅱscores（APACHE Ⅱ）and nosocomial infection. METHODS The clinical data from 1 007 ICU patients were evaluated with APACHE Ⅱscores system,and made a prospective survey of nosocomial infection. RESULTS Along with the increase in APACHE II scores,nosocomial infection rate and mortality showed rising trend and they were in linear relationship. CONCLUSIONS APACHE Ⅱscores system not only can appraise the degrees of severity of illness, evaluate medical treatment, and estimate the prognosis,but also forecast nosocomial infection.

关 键 词：APACHEⅡ评分 医院感染 预测 

分 类 号：R197.32[医药卫生—卫生事业管理]