艾滋病患者APACHEIII评分的临床应用

Analysis of acute physiology and chronic health evaluation III in AIDS patients

目的评估分析急性生理学和慢性健康状况评分系统III(APACHEIII)对判断艾滋病(AIDS)患者病情的严重性、预后、临床救治的价值。方法整理我院2003年1月～12月住院AIDS患者116例的临床资料(其中存活组95例,死亡组21例),采用APACHEIII评分评估AIDS患者病情的严重性、预后和治疗效果。结果死亡组的APACHEIII和APS评分分值明显高于存活组(P<0.01);入院时的APACHEIII和APS评分分值较出院或死亡前差异显著(P<0.01);入院时APACHEIII分值≥60分时患者的死亡率明显增高,APACHEIII分值越高,治疗效果差,死亡率高。结论APACHEIII评分分值与AIDS患者病情的严重性、预后和疗效有较大的价值。

Objective To evaluate and analyze the acute physiology and chronic health evaluation III (APACHEIII) in AIDS patients and its significance in prognosis. Methods The clinical data of 116 cases of AIDS inpatients from January to December 2003, including the surviving group (57survivors) and the death group (21 non-survivors) were collected and evaluated with APACHEIII scoring system. The correlation of scores and prognosis was evaluated. Results The scores of the nonsurvivors were remarkably higher than those of the surviving group (P<0.01). The acute physiology score (APS) in the death group were remarkably higher than those of the surviving group (P<0.01).The rate of death was increased remarkably when the scores of APACHE III were over 60 (including 60). Conclusions The scores of APACHEIII in AIDS are correlated with the patient's condition and prognosis.