摘要
目的 应用急性生理与慢性健康评估(APACHE)评分系统评估心胸外科监护病房(CSICU)中患者的疾病危重程度并判断其预后。 方法 连续观察入CSICU资料完整的患者320例,按Knaus法进行APACHE评分,并计算出各患者的预计死亡危险度。 结果 320例患者APACHE评分范围3～35分(平均18.8±11.1分)。生存305例,评分16.9±6.5分;死亡15例,评分21.2±4.7分。生存与死亡评分差异有显著性(P<0.01)。APACHE评分与预计死亡率之间呈显著正相关(r=0.77,P<0.01)。当APACHE评分大于25分时,预计与实际死亡率均明显升高,提示预后较差。不同疾病类型各组间APACHE评分差异有显著性(P<0.01)。 结论 (1)APACHE评分系统可应用于CSICU,作为评估病情危重程度及预后的指标之一;(2)预计与实际死亡率之间的差异,可评价CSICU的治疗、监护质量;(3)
Objective To evaluate the severity of illness and to jude the prognosis for patients in cardiothoracic surgery intensive care unit (CSICU). Methods The Acute Physiology and Chronic Health Evaluation Ⅱ (APACHE Ⅱ) score system was adopted to investigate 320 unselected consecutive CSICU admissions. Among them,182 were male, and 138 female. The age range was from 1 to 74(32.8±18.4) years. The risk of hospital death was computed in each patient. Results Admission APACHE Ⅱ score was 3 35(18.8±11.1).The scores of fifteen dead patients were 21.2±4.7, which was significant higher than those of the survival 16.9±6.5( P <0 01).There was closely positive correlation between expected mortality and the score ( r =0.77, P <0 01).When the score was above 25,expected and actual mortality were markedly increased. It suggested unfavourable prognosis. Among the four groups which were divided according to disease, the scores were significantly different from each other. Conclusion APACHE Ⅱ score may be useful in clinical assessment in critically ill surgical patients in CSICU. Furthermore, an expected death rate based on APACHE Ⅱ can be compared to actual death rate as a test of therapeutic efficacy. In addition, the score system may be instructive to make full use of the medical facilities of CSICU.
出处
《中国胸心血管外科临床杂志》
CAS
2000年第1期15-17,共3页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
急性
生理
慢性健康评估Ⅱ
临护病房
预后
Acute physiology and chronic health evaluation Ⅱ
Intensive care unit
Prognosis
