APACHEⅡ评分在急诊ICU的应用  被引量:8

Application of acute physiology and chronic health evaluation Ⅱ score in the EICU

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作  者:俞芃[1] 于东明[1] 李建国[1] 董小燕[1] 

机构地区:[1]首都医科大学附属北京天坛医院急诊科,100050

出  处:《中国急救复苏与灾害医学杂志》2010年第8期748-750,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘  要:目的应用急性生理与慢性健康状况评分(APACHE)Ⅱ评分系统对急诊重症监护室(EICU)患者进行病情评价和预后分析。方法应用APACHEⅡ评分系统对急诊ICU607例急危重症患者进行评分并统计各病种和各个APACHEⅡ评分区间组的病死率进行统计学分析。结果死亡组APACHEⅡ评分分值明显高于存活组(P〈0.01);APACHEⅡ分值与病死率呈正相关,得分越高,患者病死率越高;APACHEⅡ评分〉25分者病死率明显增加。结论APACHEⅡ评分可较好的评估急诊患者病情严重程度、预测预后。Objective To apply acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) scoring system to evaluate disease in EICU. Methods With the use of APACHE Ⅱ scoring system the severity of illness and prognosis were evaluated in 607 cases of critical patients. Results APACHE Ⅱ score of non-survival group was significantly higher than that of survival group (P〈0.01), and APACHE Ⅱ score was also positively correlated with the mortality. The mortality were significantly higher when APACHE Ⅱ〉 25. Conclusion APACHE Ⅱ score is reliable to evaluate the severity of illness and prognosis in critical patients.

关 键 词:APACHEⅡ评分 急诊ICU 病死率 

分 类 号:R195[医药卫生—卫生统计学]

 

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