SIRS评分与APACHEⅡ评分预测急诊危重病人预后的研究

Study on systemic inflammatory response syndrome score and APACHE Ⅱ score predicting outcome in severe patients of emergency department

目的探讨全身炎症反应综合征(SIRS)评分与急性生理和慢性健康状况(APACHEⅡ)评分对预测急诊危重病人预后的意义。方法回顾分析急诊内科收治的114例病人并进行SIRS评分与APACHEⅡ评分,分析不同SIRS评分与不同APACHEⅡ评分病人的病死率,评价SIRS评分与APACHEⅡ评分的相关性。结果随着SIRS与APACHEⅡ分值的增加,病死率也增加,SIRS评分≥2分或APACHEⅡ评分≥25分时病人病死率明显增加,差异有统计学意义。结论SIRS评分系统作为一种简单的评分系统,能够初步预测病人的预后,具有一定的临床应用价值。

Objective To study effect and significance of systemic inflammatory response syndrome（SIRS） score and APACHE Ⅱ score in prognosis in severe patients of emergency department. Methods Data of 114 patients were collected at admission. SIRS score and APACHE Ⅱ score were calculated in 24 hours. To analyze mortality of patients in different score, to estimate dependability of them. Result With SIRS score increasing , mortality rate increased as well and patients with SIRS score ≥2 or APACHE Ⅱ score ≥25 had significantly higher mortality rate. Conclusions SIRS score is a simple, useful predictor of outcome in patients of emergency department. It can be used in clinical generally.