摘要
目的:探讨急性生理与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分的预见性干预模式对重症脓毒症患者治疗指标的影响.方法:选取2022年1月至2023年5月本院收治的92例重症脓毒症患者作为研究对象.依据干预模式,将其分为研究组(n=46,给予基于APACHEⅡ评分的预见性干预)和对照组(n=46,给予常规干预).比较两组患者各项治疗指标.结果:研究组患者机械通气时间、抗菌药物使用时间、ICU住院时间短于对照组,住院费用比低于对照组,差异均有统计学意义(P<0.05);研究组患者干预6h后,中心静脉压、平均动脉压、中心静脉血氧浓度(ScvO_(2))、动脉血氧分压(PaO_(2))、PaO_(2)与吸入氧分数(FiO_(2))的比率(PaO_(2)/FiO_(2))值高于对照组,心率均低于对照组,差异均有统计学意义(P<0.05);两组患者并发症发生率比较,差异无统计学意义(P>0.05).结论:基于APACHEⅡ评分的预见性干预模式可有效改善重症脓毒症患者的相关治疗指标,值得临床推广.
Objective:To explore the effect of predictive intervention model based on acute physiology and chronic health evaluationⅡ(APACHEⅡ)scores on treatment indicators of patients with severe sepsis.Methods:A total of 92 patients with severe sepsis admitted to our hospital from January 2022 to May 2023 were selected in this study.According to intervention model,they were divided into study group(n=46,received predictive intervention based on APACHEⅡscore)and control group(n=46,received routine intervention).The treatment indicators of patients with severe sepsis were compared between the two groups.Results:The mechanical ventilation time,antibiotic use time and ICU stay time of the study group were shorter than those of control group,and the hospitalization cost was less than that of control group,the differences were statistically significant(P<0.05).After 6 hours of intervention,the central venous pressure,mean arterial pressure,systemic central venous oxygen saturation(ScvO_(2)),arterial partial pressure of oxygen(PaO_(2))and PaO_(2)/FiO_(2) values of study group were higher than those of control group,and the heart rate was lower than that of control group,the differences were statistically significant(P<0.05).There was no significant difference in incidence of complications between the two groups(P>0.05).Conclusion:The anticipatory intervention model based on APACHEⅡscore can effectively improve the relevant therapeutic indexes of patients with severe sepsis and is applicable for clinical popularization.
作者
代晓
邢妍妍
郭东玲
李晓娟
DAI Xiao;XING Yan-yan;GUO Dong-ling;LI Xiao-juan(Department of Critical Care Medicine,Zhengzhou People's Hospital,Henan University of Chinese Medicine,Zhengzhou 450003,China;Infection Prevention and Control Office,Zhengzhou People's Hospital,Henan University of Chinese Medicine,Zhengzhou 450003,China;Department of Cardiac Vascular Surgery,Zhengzhou People's Hospital,Henan University of Traditional Chinese Medicine,Zhengzhou 450003,China)
出处
《四川解剖学杂志》
2024年第3期166-168,共3页
Sichuan Journal of Anatomy
关键词
APACHEⅡ评分
预见性干预
重症脓毒症
治疗
Acute Physiological and Chronic Health Status Scoring System Ⅱ
Anticipatory intervention
Severe sepsis
Treatment
作者简介
代晓,护师,本科学历,研究方向:重症护理,e-Mail:13837157227@126.com。
