APACHE Ⅲ在ICU目标性监测中的应用  

Application of APACHE Ⅲ in ICU Targeted Surveillance

作　　者：刘滨[1] 黄敏容[1] 周敏[1] 周丽芳[1] 

机构地区：[1]广西医科大学第四附属医院医院感染科,广西柳州545005

出　　处：《中华医院感染学杂志》2008年第6期819-820,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨急性生理学和慢性健康状况评分Ⅲ(APACHEⅢ)重症监护病房(ICU)目标性监测临床病情分级的应用。方法采用目标性监测方法对2006年9月-2007年2月在ICU住院患者发生医院感染进行监测,在临床病情分组及分值评定时采用APACHEⅢ和原评定方法进行比较。结果目标性监测264例患者,同期住ICU患者972日数,84例次医院感染,日医院感染率为8.642%,2名医生评定患者病情分级构成比较,临床医生和APACHEⅢ评分病情分级构成之间的统计学处理差异均有统计学意义(P<0.01)。结论应用APACHEⅢ对患者病情平均严重程度分值(ASIS)调整提供更为可靠,可有效地用于各医院之间的ICU患者日医院感染发病率对比。OBJECTIVE To study the application of APACHEⅢ in ICU targeted surveillance to assess the standards for clinical illness grading and scoring. METHODS From Sep 2006 to Feb 2007, nosocomial infection was monitored among the patients in a comprehensive ICU and the APACHE Ⅲ was used in assessing the standards for clinical illness grading and scoring in comparison with the previous method. RESULTS Among 972 ICU patients over that time, 264 cases were selected as the supervision targets, 84 patient-times with nosocomial infection were found out with a daily incidence of 8. 642%. Two clinical doctors assessed and graded patients＇ conditions. There was significant difference in the results between the methods by the clinical doctors and APACHE Ⅲ （P〈0. 01）. CONCLUSIONS It is more reliable to use APACHE Ⅲ for average severity of illness score （ASIS）, which is applicable in the comparison of daily nosocomial infection among ICU patients in different hospitals.

关 键 词：APACHEⅢ 重症监护病房 目标性监测 

分 类 号：R197.32[医药卫生—卫生事业管理]