APACHEⅢ评分在急性有机磷农药中毒病情评估中的价值  

Value of Acute Physiology and Chronic Health Evaluation Ⅲ in Evaluation of Acute Organophosphate Insecticide Poisoning

作　　者：刘滨[1] 朱焕娣[1] 邵效[1] 曾洁[1] 

机构地区：[1]广东省湛江市广东省农垦中心医院中心ICU,524002

出　　处：《岭南急诊医学杂志》2011年第1期52-53,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨应用急性生理学与慢性健康状况评分Ⅲ(APACHEⅢ评分)评估急性有机磷农药中毒(AOPP)患者病情危重程度及预后的有效性。方法:分析我院急性有机磷农药中毒患者51例的资料,计算APACHEⅢ评分,并加以分析验证,建立回归模型。结果:51例患者的APACHEⅢ评分与病死率均呈正相关,评分越高,病死率越高,死亡组的评分明显高于存活组(P<0.01)。Logistic回归分析后得到死亡风险模型。结论:APACHEⅢ评分系统能客观地反映AOPP患者危重程度,可作为AOPP患者的病情危重程度及死亡风险评估。Objective： To explore applying acute physiology and chronic health evaluation Ⅲ （APACHE Ⅲ） to assess the severity of illness and prognosis in patient with acute organophosphate insecticide poisoning （AOPP） and prove its effectiveness.Methods： The clinical data of 51 patients with AOPP were analyzed. Collect relevant information and calculate score of APACHE Ⅲ and set up regression model after analysis and verification.Results： APACHE Ⅲscore in 51 patients was positively correlated with mortality,the higher score correlated to higher mortality rate. The score of death group was significantly higher than survival group （P 〈 0.01 ）. The risk of death model was obtained afier conducted logistic regression analysis.Conclusion：APACHEⅢ scoring system can objectively reflect the severity of illness in patient with acute organophosphate insecticide poisoning, can be used in evaluating the severity of illness and death risk assessment.

关 键 词：急性生理学及慢性健康状况评分Ⅲ 急性有机磷农药中毒 

分 类 号：R595.4[医药卫生—内科学]