国家早期预警评分联合急性生理学与慢性健康状况评分Ⅱ对急诊科敌草快中毒患者预后的评估价值  

Prognostic Value of NEWS Combined with APACHEⅡScore for Patients with Diquat Poisoning in the Emergency Department

作　　者：梁玉鹃[1] 曾润生[1] Liang Yujuan;Zeng Runsheng(Guangzhou Twelfth People's Hospital,Guangzhou 510000,Guangdong Province,China)

机构地区：[1]广州市第十二人民医院,广东广州510000

出　　处：《中外医药研究》2024年第11期30-32,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨国家早期预警评分(NEWS)联合急性生理学与慢性健康状况评分Ⅱ(APACHEⅡ)对急诊科敌草快中毒患者预后的评估价值。方法:回顾性分析2020年1月—2022年6月广州市第十二人民医院急诊科收治的急性敌草快中毒患者93例的临床资料,根据患者入院后30 d内预后情况分为痊愈组(n=68)和死亡组(n=25)。比较两组一般资料、NEWS分级、APACHEⅡ评分。绘制受试者工作特征(ROC)曲线获取NEWS和APACHEⅡ评分的曲线下面积(AUC),分析二者对敌草快中毒患者预后的评估价值。结果:两组性别、年龄、病程比较,差异无统计学意义(P>0.05);痊愈组中毒剂量、NEWS分级和APACHEⅡ评分均低于死亡组,差异有统计学意义(P<0.001)。NEWS、APACHEⅡ评分对急性敌草快中毒患者预后均具有显著的预测价值(AUC>0.7,P<0.001),且二者联合的AUC最大。结论:NEWS和APACHEⅡ评分对敌草快中毒患者预后均具有良好的评估价值,联合两种评分系统有助于提高评估准确度。Objective:To investigate the value of National Early Warning Score(NEWS)combined with Acute Physiology and Chronic Health Status ScoreⅡ(APACHEⅡ)in assessing the prognosis of patients with diquat poisoning in the emergency department.Methods:The clinical data of ninety-three patients with acute diquat poisoning admitted to the Department of Emergency Medicine of Guangzhou Twelfth People's Hospital from January 2020 to June 2022 were retrospectively analyzed,and the patients were divided into the cured group(n=68)and the death group(n=25)according to their prognosis within 30 d after admission.General information,NEWS classification and APACHEⅡscore were compared between the two groups.The area under the curve(AUC)of NEWS and APACHEⅡscore was obtained by plotting the subjects'work characteristics(ROC)curves,and the value of the two in assessing the prognosis of patients with diquat poisoning was analyzed.Results:Comparison of gender,age and disease duration between the two groups showed no statistically significant difference(P>0.05);the poisoning dose,NEWS grade and APACHEⅡscore of the cured group were lower than those of the death group,and the difference was statistically significant(P<0.001).NEWS and APACHEⅡscore had significant predictive value for the prognosis of patients with acute diquat poisoning(AUC>0.7,P<0.001),and the AUC of the combination of the two was the largest.Conclusion:Both NEWS and APACHEⅡscore have good prognostic value for patients with diquat poisoning,and the combination of the two scoring systems helps to improve the accuracy of assessment.

关 键 词：国家早期预警评分 急性生理学与慢性健康状况评分Ⅱ 敌草快中毒 预后 

分 类 号：R595.4[医药卫生—内科学]