血气乳酸、血管紧张素转换酶结合APACHEⅡ评分预测急诊创伤性休克患者死亡风险的价值  

The value of Blood Gas Lactate、Angiotensin Converting Enzyme Combined with APACHEⅡScore to Predict the Risk of Death in Patients with Emergency Traumatic Shock

作　　者：宋昭光 吴平宇 温思聪 Song Zhaoguang;Wu Pingyu;Wen Sicong(Department of Critical Medicine,Tongcheng City People's Hospital,Tongcheng Anhui 231400,China)

机构地区：[1]桐城市人民医院重症医学科,安徽桐城231400

出　　处：《生命科学仪器》2024年第2期146-148,共3页Life Science Instruments

摘　　要：目的研究血气乳酸、血管紧张素转换酶(ACE)及APACHEⅡ评分预测急诊创伤性休克患者死亡风险的价值。方法收集2018年3月至2023年5月桐城市人民医院重症医学科收治的70例急诊创伤性休克患者,分为存活组(38例)与死亡组(32例)。比较两组乳酸、ACE、ACE 2、APACHEⅡ评分、ISS及SI,分析上述指标在预测急诊创伤性休克患者死亡风险中的价值。结果存活组乳酸、ACE、ACE2、APACHEⅡ评分及SI均低于死亡组,P<0.05;Logistic回归分析显示,NLR、乳酸、ACE、ACE2、APACHEⅡ评分是急诊创伤性休克患者预后的影响因素,(P<0.05);联合预测死亡风险的ROC面积为0.956,敏感度0.925,特异度0.756。结论乳酸、ACE及APACHEⅡ评分高的急诊创伤性休克患者死亡风险较高,应用三项指标联合检测具有较高的临床价值。Objective:To study the value of blood gas lactic acid,angiotensin converting enzyme(ACE)and APACHEⅡscore in predicting the death risk of emergency patients with traumatic shock.Methods:From March 2018 to May 2023,70 emergency patients with traumatic shock were collected and divided into survival group(38 cases)and death group(32 cases).Lactic acid、ACE、ACE 2、APACHEⅡscore、ISS and SI were compared between the two groups,and the value of the above indexes in predicting the death risk of emergency patients with traumatic shock was analyzed.Results:Lactic acid、ACE、ACE2、APACHEⅡscore and SI in survival group were lower than those in death group,P<0.05.Logistic regression analysis showed that the scores of NLR、lactic acid、ACE、ACE2 and APACHEⅡwere the prognostic factors of emergency patients with traumatic shock,P<0.05.The ROC area of joint prediction of death risk is 0.956,the sensitivity is 0.925,and the specificity is 0.756.Conclusion:Emergency patients with traumatic shock with high scores of lactic acid、ACE and APACHEⅡare at higher risk of death,and the combined detection of these three indexes has high clinical value.

关 键 词：血管紧张素转换酶 损伤严重度评分 休克指数 

分 类 号：R605.971[医药卫生—急诊医学]