摘要
应用急性生理和慢性健康评分系统Ⅱ（ＡＰＡＣＨＥⅡ评分）对瑞金医院外科ＩＣＵ１９９１年５月～１９９５年９月收治的连续监护的１８２例普外危重病人进行评估。用死亡率预测方程（ＭＰＭ）判定预后，结果显示１１９例生存者的平均指数（１５６±４２）显著低于６３例死亡者（２３７±４２）（Ｐ＜００１）。入院时ＡＰＡＣＨＥⅡ评分＜１５分的病人均存活，＞２９分的均死亡，１５～２８分的７２例，通过连续评分，于第５天或第２５天死亡组和存活组ＡＰＡＣＨＥⅡ评分出现显著性差异，有助于预后判断。结果提示ＡＰＡＣＨＥⅡ评分可作为评价外科ＩＣＵ救治水平的标尺。
From May 1991 to September 1995, 182 patients with serious diseases of general surgery were assessed by the Acute Physiology and Chronic Health Evaluation Ⅱ (APACHE Ⅱ) Scoring system in General Surgery ICU, Ruijin Hospital. The results showed that the patients mean APACHE Ⅱ score was 18.2±5.6. The score in the 119 survivors was significainly (15.6±4.2) lower than that in the 63 nonsurvivors (23.7±4.2)(P<0.01). At admission the patients whose scores were less than 15 survived and the scores were over 29 nonsurived, and the scores were between 15 ans 29 changed significantly on the 5th day and 25th day. The authors consider that APACHE Ⅱ scoring can be used as a prognosfic assessment index, and an index of the management ability of SICU for the patient with serious illness.
出处
《中国普通外科杂志》
CAS
CSCD
1997年第6期341-344,共4页
China Journal of General Surgery
