重症急性胰腺炎APACHEⅡ评分的应用价值  

Evaluation of APACHE Ⅱ scoring system in severe acute pancreatitis

作　　者：陈燕昌[1] 黄鹤光[1] 陈大良[1] 吴尧崧[1] 朱金海[1] 

机构地区：[1]福建医科大学附属协和医院普外科,福建福州350001

出　　处：《中国普通外科杂志》2002年第3期139-141,共3页China Journal of General Surgery

摘　　要：目的　探讨APACHEⅡ评分在预测重症急性胰腺炎 (SAP )严重度和预后中的作用。方法　采用APACHEⅡ评分系统对 5 2例SAP患者进行评分分析。结果　SAP患者APACHEⅡ评分均值为( 16 .6 0± 9.0 7) ( 8～ 40 )分。其中分值为SAPⅡ级高于SAPⅠ级、死亡组高于存活组 (均Ρ <0 .0 1)。随着分值的增高 ,SAP的预测死亡风险率和实际病死率呈逐渐上升趋势 ( Ρ <0 .0 1) ;且后两者之间呈正相关关系 (r =0 .91,Ρ <0 .0 1)。结论　APACHEⅡ评分系统对评估SAP病情危重程度及预后具有参考价值。Objective To investigate the effect of acute physiology and chronic health evaluationⅡ ( APACHEⅡ) scoring system on evaluating the severity and prognosis in severe acute pancreatitis(SAP). Methods The APACHEⅡ scores were analyzed in 52 patients with SAP. Results The mean APACHEⅡ score of SAP was 16.60±9.07(8～40), and there were significant differences between the scores not only in Grade SAPⅠand Grade SAPⅡ(Ρ< 0.01) but also in the living group and the death group (Ρ< 0.01 ).The mortality of SAP patients rose gradually when the APACHE Ⅱscore increased,and the predicted mortality was positively correlated with the actual mortality (r=0.91,Ρ<0.01). Conclusions The APACHEⅡ scoring system can be as a reference for evaluating the severity and prognosis of SAP.

关 键 词：胰腺炎 诊断 急性病 预后 APACHEⅡ评分 

分 类 号：R576[医药卫生—消化系统]