APACHE Ⅲ危重疾病评分系统在ICU中的应用  

Application of APACHE Ⅲ Severe Diseases Evaluation System in ICU

作　　者：苗丽霞[1] 何本让[1] 汤彦[1] 田金飞[1] 付元元[1] 闵利[1] 

机构地区：[1]湖北医药学院附属东风总医院ICU,442008

出　　处：《职业与健康》2011年第8期942-944,共3页Occupation and Health

摘　　要：目的使用急性生理与慢性健康状况评分系统(APACHE)Ⅲ评价90例重症监护病房(ICU)患者的病情及预后,以验证其在ICU中应用的临床价值。方法收集湖北医学院附属东风总医院2008年12月—2009年12月ICU中90例危重患者的资料,用APACHEⅢ危重疾病评分系统进行评分,分别计算存活组和死亡组每个患者的APACHEⅢ分值,预测死亡率,计算各组的病死率。结果 90例患者中存活组54例,评分平均为(49.54±18.76)分;死亡组46例,评分平均(92.54±30.12)分。死亡组APACHEⅢ分值明显高于存活组,差异有统计学意义(P<0.01)。随着APACHEⅢ分值的增高,患者的实际病死率和预计死亡率增高。结论 APACHEⅢ危重疾病评分系统可以准确客观评估危重疾病的病情程度及预测预后,临床中值得推广。[Objective]Using Acute Physiology and Chronic Health Evaluation（APACHE） Ⅲ,disease condition and prognosis of 90 patients in Intensive Care Unit（ICU） were evaluated,so as to confirm its clinical value.[Methods]The data of 90 patients in ICU of Dongfeng General Hospital Affiliated to Hubei Medical and Pharmaceutical University from December 2008 to December 2009 were collected,and APACHE Ⅲ severe diseases evaluation system was adopted to evaluate.APACHE Ⅲ scores of every patient in the survival group and the death group were respectively calculated to forecasts the mortality rate and calculate the fatality rate of two groups.[Results]Among 90 patients,there were 54 cases in the survival group with the average scores of（49.54 ±18.76）,and there were 46 cases in the death group with the average scores of（92.54±30.12）.The APACHE Ⅲ scores of the death group was significantly higher than that of the survival group（P0.01）.The actual fatality rate and estimated mortality rate increased with the increase of APACHE Ⅲ scores.[Conclusion]APACHE Ⅲ severe diseases evaluation system can evaluate the disease condition and prognosis of severe diseases accurately and objectively,which is worth popularizing in clinic.

关 键 词：急性生理学及慢性健康状况评分 重症监护病房 危重病 预后 

分 类 号：R459.7[医药卫生—急诊医学]