APACHEⅡ评分在ICU护理中的应用与研究

Application and Research of APACHEⅡ Score in ICU Nursing

目的探讨APACHEⅡ评分评价疾病严重程度的有效性,分析APACHEⅡ评分中不同因素对评分的影响程度。方法对ICU的116例患者进行APACHEⅡ评分,通过对死亡组与存活组评分的比较,检测APACHEⅡ评分的有效性;对APACHEⅡ评分系统中包含的各评分因素进行回归分析,得出影响评分的重要因素。结果存活组与死亡组在APACHEⅡ分值上有显著差异(P<0.05),APACHEⅡ评分对预测病情的危重程度有统计学意义(P<0.05);得出影响APACHEⅡ评分的6个最重要因素,分别为格拉斯昏迷评分、脉搏血氧饱和度SaO2、白细胞计数、血清K+、既往健康状况及并发症评分。结论APACHEⅡ评分系统可以较准确地评价神经外科ICU患者的病情严重程度,预测病死率,为神经外科ICU的护理工作提供有益的指导。

Objective To investigate the validity of assessing disease severity degree by APACHE Ⅱ score, so as to analyze the influencing extent of different factors in APACHE Ⅱ score. Methods One hundred and sixteen patients enrolled in ICU unit were evaluated by APACHE Ⅱ score, and the validity of APACHE Ⅱ score was investigated by comparing the score in survival group with that in death group. The regression analysis was used to identify more important influence factors in APACHE Ⅱ scoring system. Results There was significant difference between APACHEⅡ score in survival group and that in death group. APACHEⅡ score had statistical significance for evaluating disease severity degree. There were 6 important influence factors in APACHEⅡ scoring system,including Glasgow coma scale score （GCSS） , saturation of pulse oxygen （ SaO2 ）, white blood cell count （ WBCC ）, serum potassium, chronic heath status and complication score. Conclusion APACHE Ⅱ scoring system is capable of assessing relatively the disease severity degree and prognosticating mortality rate for patients in neurosurgical ICU, and providing valuable directions for neurosurgical ICU nursing.