APACHEⅡ评分在儿科医院感染预测的应用  

Application of APACHE II in predicting nosocomial infections in pediatric hospital

作　　者：潘革[1] 熊靖[1] 甘泳江[1] 黄小红[2] 

机构地区：[1]广西医科大学第三附属医院,广西南宁530031 [2]广西医科大学第一附属医院,广西南宁530027

出　　处：《右江民族医学院学报》2002年第4期498-499,共2页Journal of Youjiang Medical University for Nationalities

基　　金：广西科技厅攻关项目基金资助 (桂科攻 0 0 0 80 3 9)

摘　　要：目的　探讨急性生理功能和慢性健康状况评分系统Ⅱ (APACHEⅡ )在儿科医院感染 (NI)预测中的应用和意义。方法　采用巢式病例对照研究方法选择病例 ,以 96例NI患儿及 96例非NI患儿分别作为观察组及对照组 ,两组患儿均为同科室、同性别、年龄相仿 (± 2岁 )、基础病相同及入院时间相隔 <7天。应用APACHEⅡ对两组患儿进行多次评分 ,以最高评分值为观察值 ,行单因素回归分析。结果　APACHEⅡ分值与NI发生成正相关 ,r =0 .43 63 ,P <0 .0 0 1,且存在量效关系。Objective To investigate the application and significance of acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) in predicting nosocomial infections (NI) in pediatric hospital. Methods The nested case-control study was adopted. Ninety-six sick children with NI and ninety-six sick children without NI were selected into the observed and control groups, respectively. The sick children in the two groups were in the same ward, with the same sex, at similar age (±2 years) as well as with the same disease, and their admitted dates were <7 days apart. The sick children in both groups were scored repeatedly by APACHE Ⅱ. The highest scores were taken for the observed ones, and single factor regression analysis was done. Results The risk of NI was positively correlated with APACHE Ⅱ scores (P<0.01), and there was quantity-effectiveness relationship between them. Conclusions The degrees of severity of illness can be appraised by APACHE Ⅱ, which is one of the methods of predicting the risk of NI in pediatric hospital.

关 键 词：APACHEⅡ评分 医院感染 生理学 卫生状况指标 医原性疾病 儿科 预测 

分 类 号：R725[医药卫生—儿科]