肺炎严重度指数和CURB-65评分对老年社区获得性肺炎预后评估的比较  

Comparison between PSI and CURB-65 score for the prognostic assessment of elderly community acquired pneumonia

作　　者：李星晶[1] 王鹏[1] 沈芳[1] 何牡丹[1] 

机构地区：[1]上海市第一人民医院宝山分院呼吸科,201900

出　　处：《中华全科医师杂志》2014年第2期133-134,共2页Chinese Journal of General Practitioners

摘　　要：以肺炎严重度指数（PSI）和CURB-65评分两种方法,评估218例老年社区获得性肺炎住院患者的临床资料,做两种评估方法的比较.按PSI评分标准,Ⅱ-Ⅴ级分别有20、82、105和11例,病死率分别为0.0%、1.2%、12.4%和5/11;按CURB-65评分标准,1-5分各有157、48、11、1和1例,病死率分别为1.3%、14.6%、8/11、1/1、1/1.两种方法均能有效预测预后,前者能综合判断患者的病情,但操作比较繁琐,而后者评估相对简单,但对老年患者病情易低估.Pneumonia severity score （PSI） and CURB-65 were used to evaluate the medical records of 218 elderly inpatients with community acquired pneumonia （CAP） at our hospital. The comparisons of PSI and CURB-65 were made. According to PSI, there were 21, 82, 105, 11 patients in grades II - V and the fatality rate were 0. 0% , 1.2% , 12. 4% , 5/11 respectively. There were 157, 48, 11, 1 and 1 patients with CURB-65 score of 1 -5 and the fatality rate were 1.3%, 14. 6% ,8/11 , 1/1,1/1 respectively. The results indicated that both PSI and CURB-65 could be used for evaluating the prognosis of elder CAP. The former offered an overall evaluation of disease, but it was too complicated. The later was easy to use but it could underestimate the condition of elder CAP.

关 键 词：社区获得性肺炎 评估 

分 类 号：R563.1[医药卫生—呼吸系统]