APACHEⅡ评分系统在重症脑出血中的应用  

Application of APACHE II scoring system in severe cerebral hemorrhage

作　　者：于元英[1] 于国平[2] 

机构地区：[1]青岛大学医学院附属医院海阳分院神经内科,265100 [2]烟台毓璜顶医院神经内科

出　　处：《中国综合临床》2011年第11期1167-1169,共3页Clinical Medicine of China

摘　　要：目的评估急性生理学和慢性健康评估系统（APACHEⅡ）在预测小孔多方位颅内血肿抽吸术治疗重症脑出血的预后判断方面的应用价值。方法58例重症脑出血患者随机分为2组。治疗组30例，采用小孔多方位颅内血肿抽吸术；对照组28例，采用药物保守治疗。应用APACHEⅡ评分评估患者病情严重程度并判断预后，评价小孔多方位颅内血肿抽吸术手术效果。结果治疗组患者APACHEⅡ评分第1天为（28．00±1．92）分；预测群体病员死亡风险率0．86±0．03；第10天明显下降，达（8．20±0．76）分，预测群体病员死亡风险率O．57±0．05；实际病死率达33．33％。结论APACHEⅡ评分系统适用于判断重症脑出血患者的病情严重程度及预测预后，同时证明小孔多方位颅内血肿抽吸术的疗效显著。Objective To evaluatethe application value of APACHE II on the prognoses in prediction of pin hole muhi-directional intracranial hematoma aspiration to cure severe cerebral hemorrhage. Methods APACHE Ⅱ scoring system was conducted in randomly collected 58 severe cerebral hemorrhage patients＇ data （30 patients underwent surgical treatment,28 patients underwent conservative treatment） to evaluate the disease severity,prognosis and effect of the pin hole muhi-directional intracranial hematoma aspiration. Results The APACHE II score of treatment group on the first day was 28.00 ±1.92 and,the predicted mortality was 0. 86±0.03. The score was decreased obviously on the tenth day （ 8.20 ± 0. 76） and the predicted mortality was 0. 57 ±0. 05. The actual mortality was 33.33%. Conclusion APACHE Ⅱ scoring system is suitable for judging the disease severity and predicting the prognosis of severe cerebral hemorrhage patients, it proves that surgical treatment effect of the pin hole multi-directional intracranial hematoma aspiration is remarkable.

关 键 词：急性生理学和慢性健康评估系统 小孔多方位颅内血肿抽吸术 重症脑出血 

分 类 号：R651.1[医药卫生—外科学]