危重症患者血清尿酸水平与APACHE Ⅱ评分相关性研究  

Relationship between Serum Uric Acid and Acute Physiological and Chronic Health EvaluationⅡ in Critically Ill Patients

作　　者：邵效[1] 邓活[1] 马田就[1] 

机构地区：[1]广东省农垦中心医院急诊科,524002

出　　处：《岭南急诊医学杂志》2010年第1期13-14,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨危重症患者血清尿酸(UA)水平与APACHEⅡ评分的关系。方法:回顾性分析126例ICU危重患者入住ICU24h内的血清尿酸水平,并在24 h内对这126例患者进行APACHEⅡ评分,研究两者是否存在相关性。结果:危重症患者的血清尿酸水平与其APACHEⅡ评分的分值成正相关(r=0.7914,P<0.01);血清尿酸水平越高,相应APACHEⅡ评分分值也越高,病情越危重。结论:血清尿酸水平是反映危重症病情及评价预后的一项重要参考指标。Objective： To study the relationships between serum uric acid measurement of critically ill patients and acute physiological and chronic health evaluation Ⅱ. Methods：The levels of serum uric acid in 126 critically ill patients were analyzed retrospectively and a severity of illness score （APACHE Ⅱ ） was determined for each patient during the first 24 h in the ICU, then we studied whether the levels of serum uric acid in 126 critically ill patients and their APACHE Ⅱ scores were dependency relation. Results： The serum uric acid levels in critically ill patients was related positively to APACHE Ⅱ score （r=0.7914,P〈0.01）. The higher levels of serum uric acid, the higher APACHEII scores and the patients were more critical conditions. Conclusion： The serum uric acid level may be an important index reflecting the critically ill patient＇s condition, and an index for estimation of the prognosis.

关 键 词：危重症患者 血清尿酸 APACHE Ⅱ评分 

分 类 号：R459.7[医药卫生—急诊医学]