SIRS评分联合无应激试验预测产科危重症患者预后的临床研究  

A Clinical Study of Combined Application of SIRS Score and Non-Stress Test(NST) to Predict the Prognosis of Critically Ill Obstetric Patients

作　　者：王竞[1] 叶麒[1] 易晓云[1] 刘湘萍[1] 杨晓文[1] 黄婷[1] 张欢 WANG Jing ＊;YE Qi;Yl Xiaoyun;LIU Xiangping;YANG Xiaowen;HUANG Ting;ZHANG Huan(Pingxiang People＇s Hospital,Pingxiang 337000,China)

机构地区：[1]萍乡市人民医院,江西萍乡337000

出　　处：《现代医院》2018年第9期1322-1324,1327,共4页Modern Hospitals

基　　金：江西省卫生计生委科技计划项目(20187211);萍乡市科技计划项目(2017NS008)

摘　　要：目的对联合应用SIRS评分及无应激试验(NST)预测产科危重症患者预后的临床效果进行分析,为今后的临床工作提供有价值的参考依据。方法选择2017年1月—2018年2月收治的产科危重患者80例作为研究对象,在治疗期间,对患者联合应用SIRS评分及无应激试验(NST),按照SIRS评分、NST分型为依据,对患者进行分组,观察患者ICU入住率、住院时间及病死率。结果经统计发现,SIRS者ICU入住率、住院时间> 8 d与非SIRS者比较,差异存在统计学意义(P <0. 05),不同NST分型者的ICU入住率、住院时间> 8 d比较,差异均存在统计学意义(P <0. 05),无死亡患者; SIRS评分对危重患者的预测值,阳性预测值为61. 11%,阴性预测值为72. 27%,特异度为70. 83%,敏感度为68. 75%;联合SIRS+NST对危重患者的预测值,阳性预测值为88. 89%,阴性预测值为91. 18%,特异度为88. 57%,敏感度为71. 11%。结论联合应用SIRS评分及NST可对产科危重患者预后临床效果进行预测,临床价值显著,值得关注并推广。Objective To study- the prognosis of critically ill obstetric patients by combining SIRS score and NST test, and provide valuable reference for future clinical work. Methods From Janual7- 2017 to Februal7- 2018, 80 cases of critically ill obstetric patients were selected as the research objects. During the treatment of patients with combined application of SIRS score and non stress test （NST） , the patients were divided into groups on the basis of the SIRS score and NST classi- fication to explore their ICU occupancy rate, hospitalization time and the fatahty rate. Results There was statistical signifi- cance （P 〈0.05） in SIRS, ICU occupancy rate, hospitalization time （ 〉8 d） between SIR group and the non SIRS group; There were significant differences among different types of NST the ICU occupancy rate （P 〈0.05 ） , hospitalization time（ 〉 8 d）. The predictive SIRS score of critically ill patients： the positive predictive rate was 61.11% and negative predictive rate was 72.27% with a specificity rate of 70.83% and a sensitivity- rate of 68.75% ; The combined predictive SIRS ＋ NST score of critically ill patients： positive predictive rate was 88.89% and the negative predictive value was 91.18% with a spe cificity- rate of 88.57% and a sensitivity- rate of 71.11%. Conclusion With considerable clinical significance, the com- bined application of SIRS score and NST can predict the prognosis of obstetric critically ill patients and is thus worthy of atten- tion and further popularization.

关 键 词：产科危重症 全身炎症反应综合征 无应激试验 预后评估 

分 类 号：R714.4[医药卫生—妇产科学]