摘要
目的评价临床肺部感染评分（CPIS）对呼吸机相关肺炎（VAP）患者的诊断价值。方法对2003—07—2008—06入住重症监护室且资料完整的94例临床诊断VAP患者，以病原学诊断结论为标准，评价CPIS诊断VAP的灵敏度和特异度。结果CPIS在诊断VAP中灵敏度73．21％，特异度78．95％，准确度75．53％，假阳性率21．05％，假阴性率26．79％，阳性预告值83．67％，阴性预告值66．67％，约登指数0．52。结论CPIS可协助诊断VAP，其灵敏度和特异度较高，具有较高的临床诊断价值。
Objective Value of clinical pulmonary infection score（CPIS） in the diagnosis of ventilator - associated pneumonia （ VAP）. Methods To investigate retrospectively 94 cases who were diagnosed as VAP according to clinical criteria from July 2005 to June 2008. CPIS were evaluated at the onset of VAP. Results 56 of 94 patients had VAP. CPIS had a higher value in the diagnosis of VAP. CPIS at a threshold of 5 showed sensitivity was 73.21%, specificity 78.95%, accuracy 75.53%, false positive rate 21.05 %, false negative rate 26.79 %, positive predictive value 83.67%, negative predictive value 66.67% ,and Youdeng index 0.52 respectively. Conclusion CPIS was proved to have higher clinical value in the diagnosis of VAP. The use of CPIS is better than clinical criteria in the diagnosis of VAP.
出处
《中国急救医学》
CAS
CSCD
北大核心
2009年第3期207-209,共3页
Chinese Journal of Critical Care Medicine
关键词
呼吸机相关性肺炎
临床肺部感染评分
Ventilator- associated pneumonia （VAP）
Clinical pulmonary infection score （CPIS）
作者简介
黄晓英（1971-），女，硕士，副主任医师。
