改良产科危重症评分和早期动脉血乳酸清除率在评估产科危重症患者预后中的应用价值  

Application value of modified obstetric critical illness score and early-stage arterial blood lactic acid clearance rate in evaluation of prognosis in patients with obstetric critical illnesses

作　　者：杨燕 李梦霞 李巧丽 方建红 李秀娟 YAN Yang;LI Meng-xia;LI Qiao-li;FANG Jian-hong;LI Xiu-juan(Department of Obstetrics,People′s Hospital of Chengyang Qingdao District in Qingdao City,Qingdao 266000,China)

机构地区：[1]山东省青岛市城阳区人民医院产科,青岛市266000

出　　处：《广西医学》2022年第3期245-248,共4页Guangxi Medical Journal

基　　金：山东省青岛市医药科研指导计划(2018-WJZD141)。

摘　　要：目的分析改良产科危重症评分和早期动脉血乳酸清除率在评估产科危重症患者预后中的应用价值。方法纳入90例产科危重症患者作为研究对象,于入院6 h内评估改良产科危重评分,计算早期(入院后6 h)动脉血乳酸清除率。观察住院期间患者的生存预后情况,根据生存预后情况将患者分为死亡组15例、存活组75例。分析产科危重症患者改良产科危重症评分与早期动脉血乳酸水平的相关性,并比较两组改良产科危重症评分和早期动脉血乳酸清除率。绘制受试者工作特征曲线分析改良产科危重症评分和早期动脉血乳酸清除率对产科危重症患者预后的评估价值。结果90例患者的改良产科危重症评分为(8.51±0.83)分,早期动脉血乳酸清除率为(5.24±0.63)%,两者呈负相关(P<0.05)。死亡组改良产科危重症评分高于存活组,而早期动脉血乳酸清除率低于存活组(均P<0.05)。改良产科危重症评分、早期动脉血乳酸清除率及二者联合预测产科危重症患者住院期间存活情况的曲线下面积分别为0.842、0.914、0.930,二者联合预测的曲线下面积大于改良产科危重症评分(P<0.05)。结论改良产科危重症评分与早期动脉血乳酸清除率在产科危重症患者的预后评估中均具有较好的价值,但二者联合可获得更好的预测效能。Objective To analyze the application value of the modified obstetric critical illness score and the early-stage arterial blood lactic acid clearance rate in evaluating the prognosis of patients with obstetric critical illnesses.Methods Ninety patients with obstetric critical illnesses were enrolled as research subjects and received the assessment of the modified obstetric critical illness score within six hours after admission.Their early-stage(six hours after admission)arterial blood lactic acid clearance rate was calculated.Patients′survival prognosis during hospitalization was observed,and they were divided into death group(n=15)and survival group(n=75)according to their survival prognosis.The correlation between the modified obstetric critical illness score and the early-stage arterial blood lactic acid level was analyzed in patients with obstetric critical illnesses,and the modified obstetric critical illness score and the early-stage arterial blood lactic acid clearance rate were compared between the two groups.Receiver operating characteristic curve was plotted to analyze the value of the modified obstetric critical illness score and the early-stage arterial blood lactic acid clearance rate for assessing the prognosis of patients with obstetric critical illnesses.Results Among the 90 patients,the modified obstetric critical illness score was 8.51±0.83,and the early-stage arterial blood lactic acid clearance rate was(5.24±0.63)%,and there was a negative correlation between these two indices(P<0.05).The death group exhibited a higher modified obstetric critical illness score and a lower early-stage arterial blood lactic acid clearance rate than the survival group(all P<0.05).The areas under the curve of the modified obstetric critical illness score,the early-stage arterial blood lactic acid clearance rate,and their combination for predicting the survival of patients with obstetric critical illnesses during hospitalization were 0.842,0.914 and 0.930,respectively,and their combination achieved a greater ar

关 键 词：产科危重症 改良产科危重症评分 早期乳酸清除率 动脉血 预后 预测效能 

分 类 号：R714[医药卫生—妇产科学]