NISS、APACHE-Ⅱ评分对伴严重腹部损伤的多发伤患者并发症及预后价值研究  

NISS,APACHE-Ⅱ score for patients with severe multiple trauma with abdominal injury complications and prognostic value

作　　者：林毅[1] 刘恒 

机构地区：[1]福建省第二人民医院,福州350000 [2]福建省军区第二干休所,福州350000

出　　处：《河南外科学杂志》2017年第6期13-15,共3页Henan Journal of Surgery

摘　　要：目的探究新损伤严重度评分(NISS)及APACHE-Ⅱ评分对伴严重腹部损伤的多发伤患者并发症及预后判断的临床价值。方法选取本院2016-01—12间收治的66例伴严重腹部损伤的多发伤患者作为研究对象,对患者均采用NISS、APACHE-Ⅱ评分系统进行评估。依据救治结果不同,分为存活组和死亡组,比较分析评分系统及相关指标的差异。结果存活组的NISS、APACHE-Ⅱ评分均明显低于死亡组,比较差异有统计学意义(P<0.05)。NISS评分能准确预测伴严重腹部损伤的多发伤患者是否出现并发症,APACHE-Ⅱ评分能更准确预测此类患者的预后情况,差异有统计学意义(P<0.05)。结论 NISS评分对伴严重腹部损伤患者并发症预测价值较高,APACHE-Ⅱ评分其预后预测价值较高,临床应该根据实际情况结合应用,提升预后。Objective To explore the NISS,APACHE - Ⅱ score for patients with severe multiple trauma with abdominal injurycomplications and prognosis judgement clinical value. Methods The 66 cases of severe abdominal injury suffered from severe abdominalinjuries were studied in this hospital from January 2016 to December 2016,all patients were given NISS,APACHE - Ⅱ scoring systemfor evaluation. Depending on the outcome of the treatment,the survival group and the death group, and comparing the differences in thescoring system and the related indicators. Results The NISS,APACHE - Ⅱ rating of survival group were significantly lower than that ofthe death group,the difference was statistically significant （ P 〈 0 05） . The NISS score accurately predicted the incidence of complications in patients with severe abdominal injuries, the APACHE - Ⅱ score can more accurately predict the prognosis of patients with suchsituation,there are significant differences （ P 〈 0 05） . Conclusion The NISS score was of high value for complications in patients withsevere abdominal injury, and the APACHE - Ⅱ score has higher prognostic value, clinical practice should be combined with the practicalsituation to improve the prognosis.

关 键 词：新损伤严重程度评分 急性生理与慢性健康评估Ⅱ 腹部损伤 多发伤 

分 类 号：R656[医药卫生—外科学]