应用简化急性生理评分系统预测手术后危重患者的死亡风险

Prediction of mortality risk by simplified acute physiology scoring in postoperative critically ill patients

应用新的简化急性生理评分系统（ＳＡＰＳⅡ）对我院综合性ＩＣＵ连续收治的普通外科和创伤外科手术后危重患者１５９例进行了临床观察。院内死亡组２８例，存活组１３１例，术后首日ＳＡＰＳⅡ评分分别为４３．１８±１４．６６和１８．５６±９．６９，两组差异非常显著（Ｐ＜０．００１）；首日评分与院内病死率显著相关；随住院时间的推移，死亡组的评分呈逐渐上升的趋势。结果表明，ＳＡＰＳⅡ不仅能定量地反映病情危重程度。

59 post abdominal operative or post tramatic critically ill patients who were consecutively admitted to the general ICU of our hospital were evaluated with the use of simplified acute physiology scoring system (SAPS Ⅱ).The firstday SAPS Ⅱ was 43 18±14 66 in the dead group (n=28),and was 18 56±9 69 in the survivors (n=131).There was a significant difference between the two groups( P <0 001).Significant correlation was found between the firstday scoring and the hospital mortality.The daily scores for the nonsurvivors tended to increase gradually during their hospital stay.The results indicated that the SAPS Ⅱ may be used not only for evaluating the severity of the disease but also for predicting the mortality risk in the nonselective adult critically ill patients in ICU.