艾滋病并肺炎患者的急性生理学和慢性健康状况评分系统Ⅲ评分分析

Analysis of acute physiology and chronic health evaluation Ⅲ in the patients with pneumonia associated with acquired immune deficiency syndrome

目的评估分析急性生理学和慢性健康状况评分系统Ⅲ(APACHEⅢ)对判断艾滋病并肺炎患者病情的严重性和预后的价值.方法整理2003年1～12月住院艾滋病并肺炎患者74例的临床资料,采用APACHEⅢ评分评估艾滋病并肺炎患者病情的严重性和预后.结果74例患者中,死亡17例,存活57例,两者APACHEⅢ分值差异显著;APACHEⅢ分值越高,重症肺炎患者比例增高,治疗效果越差,死亡率增高;APACHEⅢ评分分值≥60者的死亡率明显增高;死亡与入院时APACHEⅢ分值相关(r=0.444,P=0.001),与死亡前的APACHEⅢ分值高度相关(r=0.965,P=0.001).结论APACHEⅢ评分有助于预测艾滋病并肺炎患者病情的严重性和预后.

Objective To assese the significance of acute physiology and chronic health evaluation Ⅲ (APACHEⅢ) scores in predicting the severity and prognosis of the patients with pneumonia associated with acquired immune deficiency syndrome (AIDS).Methods The clinical data of seventy-four inpatients with pneumonia associated with AIDS were evaluated with APACHEⅢ scoring system from January to December,2003.Results There were fifty-seven cases in survival group and twenty-one cases in death group.The scores of the non-survivors were remarkably higher than those of the survivors.A higher APACHEⅢ scores were in line with a higher mortality,a higher risk for severe pneumonia.The rate of death was increased remarkably when the scores of APACHEⅢ were above 60.Conclusion APACHEⅢ score system has a high value in predicting the risk of infection and evaluating the severity and prognosis in patients of pneumonia associated with AIDS.