APACHEⅢ评分在腹部多发伤患者预后评估中的价值  

Analyze the value of APACHE Ⅲ in the prognosis assessment of patients with abdominal multiple trauma

作　　者：魏晓艳[1] 屈征[1] 彭程[1] 徐婷[1] 雷光金[1] 

机构地区：[1]武警湖北省总队医院急诊科,武汉430061

出　　处：《临床急诊杂志》2015年第5期376-378,共3页Journal of Clinical Emergency

摘　　要：目的:评估APACHEⅢ评分在急诊重症患者预后评估中的价值。方法:分析2008-01-2014-01在我院接受治疗的腹部多发伤患者的临床资料,列为观察组。另纳入30例健康体检者作为对照组。结果:本研究共纳入观察组患者96例,对照组30例。观察组患者血清IL-6及CRP水平显著高于对照组(P<0.01)。观察组患者入院12h的APACHEⅢ评分为(60.4±19.3)。相关性分析显示观察组患者APACHEⅢ评分与血清CRP(r=0.433,P<0.01)及血清IL-6(r=0.647,P<0.01)呈现显著正相关。死亡患者的APACHEⅢ评分显著高于非死亡患者,差异有统计学意义[(87.3±17.2)vs.(55.6±16.8);t=6.864,P<0.01]。ROC曲线分析显示,截点值为74.0,APACHEⅢ评分预测腹部多发伤患者死亡的敏感性为87.5%,特异性为90.0%。结论:APACHEⅢ评分可用于腹部多发伤患者的预后评估。Objective：Our study was aimed to analyze the value of APACHE Ⅲ in the prognosis assessment of patients with abdominal multiple trauma. Method： Clinical data of patients with abdominal multiple trauma receiv- ing treatment at our hospital from 2008 to 2014 was analyzed as Group A. Healthy controls were enrolled as Group B. Result：A total of 126 cases were analyzed,Group A 96 cases,Group B 30 cases. Patients of Group A had higher levels of IL-6 and CRP than those of Group B, the difference was statistically significant （P〈0. 01）. The A- PACHE Ⅲ scores of Group A was （60.4±19.3）12 hours after hospital admission. APACHE Ⅲ of patients in Group A had significant positive correlation with IL-6 and CRP （P^0.01）. The death patients had higher A- PACHE Ⅲ scores than survival patients [（87.3 ± 17. 2） vs. （55. 6 ± 16.8）;t = 6. 864, P〈0. 011. ROC analysis showed that the value of APACHEⅢ in predicting death for patients with abdominal multiple trauma was feasible, with a sensibility of 87.5% and a specificity of 90.0%. Conclusion ： APACHE Ⅲ can be used in the prognosis as- sessment of patients with abdominal multiple trauma.

关 键 词：腹部多发伤 APACHEⅢ评分 炎症 预后 

分 类 号：R641[医药卫生—外科学]