REMS评分和APACHEⅡ评分对急诊内科抢救室患者的评估价值  

Evaluation value of REMS and APACHE Ⅱ score in patients of emergency internal medicine rescue room

作　　者：杨林军[1] 蒲燕[1] 王佳 YANG Lin-jun 1, PU Yan 1, WANG Jia2(1. Emergency Center, Hanzhong Central Hospital, Hanzhong 723000; 2. Hanzhong People＇s Hospital, Hanzhong 723000, China)

机构地区：[1]汉中市中心医院急救中心,陕西汉中723000 [2]陕西省汉中市人民医院,陕西汉中723000

出　　处：《临床医学研究与实践》2018年第28期27-28,共2页Clinical Research and Practice

摘　　要：目的探究快速急诊内科评分(REMS)和急性生理及慢性健康状况(APACHEⅡ)评分对急诊内科抢救室患者的评估价值。方法研究对象选取我院急诊内科抢救室2016年1月至2017年5月收治的386例患者,根据患者预后情况将其分为病死组(38例)和存活组(348例),均行REMS及APACHEⅡ评分。比较两种评分的评估价值。结果病死组的REMS、APACHEⅡ评分均明显高于存活组(P<0.01);REMS≥16分的患者病死率及APACHEⅡ评分均明显高于REMS评分<6分(P<0.05),且APACHEⅡ评分随REMS评分的升高而升高(r=0.906,P<0.05);APACHEⅡ评分预测入住ICU患者的ROC曲线下面积、灵敏度及特异度明显高于REMS评分(P<0.05)。结论 REMS及APACHEⅡ评分用于判断患者病情均有一定的评估价值,其中REMS评分能更迅速地评估患者早期病情,有助于提高临床抢救率,值得推广。Objective To explore the evaluation value of rapid emergency medicine score （REMS） and acutephysiological and chronic health conditions （APACHE 域） score in patients of emergency internal medicine rescue room.Methods A total of 386 patients admitted in emergency internal medicine rescue room of our hospital from January 2016 toMay 2017 were selected as study objects and divided into death group （38 cases） and survival group （348 cases） accordingto the prognosis of the patients, All the patients acquired REMS and APACHE II score. The evaluation value of the twokinds of scores were compared and analyzed. Results REMS and APACHEⅡscores in the dead group were significantlyhigher than those in the survival group （P〈0.01）; the mortality and APACHE II scores in patients with REMS逸16 scorewere significantly higher than those in patients with REMS〈6 score（P〈0.05）; APACHEⅡscore increased with the increaseof REMS score （r=0.906, P〈0.05）. The area under the ROC curve, the sensitivity and specificity of APACHE II scorepredicted the ICU patients were significantly higher than those of REMS score （P〈0.05）. Conclusion REMS and APACHEⅡ score in patient＇s condition have certain value of evaluation, and REMS score can more quickly assess the patient＇s early condition, help to improve the clinical rescue rate, which is worth promoting.

关 键 词：REMS评分 APACHEⅡ评分 急诊内科 

分 类 号：R459.7[医药卫生—急诊医学]