改良ABCD评分法在危重急诊患者中的应用价值

Application Value of Modified ABCD Scoring for Assessment of Acute Severer Patients in Emergency Department

目的 判断改良ABCD评分法对急诊病例评估的准确性,了解其是否可用于急诊患者病情的评估及其普遍性.方法 收集2006年8月～2009年1月急诊抢救室694例病人,同时对他们进行SAPS Ⅱ评分及改良ABCD评分,并对两种评分进行统计学分析,了解二者之间是甭存在相关性.结果 整体患者的SAPSⅡ评分及改良ABCD评分相关性较差,不具有统计学意义（r=0.37,P〉0.05）,但对脑血管意外、慢性支气管炎、冠心病、心力衰退、呼吸衰竭患者,两种评分具有较好的相关性（r=0.40,P〈0.05）.结论 改良ABCD评估法并不适应于所有急诊抢救患者,仅适应对于一些慢性重症患者可进行有效的病情评估.

Objective To determine the accuracy and indication of modified ABCD scoring system for assessment of acute severe patients in emergency department.Methods Collected between August 2006 and January 2009 from the hospital emergency department 694 rescued patients,every patient was assessed using SAPSⅡ and modified ABCD scoring system,and two kinds of score were statistically analyzed to understand the causal relation between the correlation.Results The correlation of SAPS Ⅱ score and modified ABCD score in all patients is poor, which does not have a statistically significant（r=0.37,P〉 0.05）.But in cerebrovascular accident,chronic bronchitis,coronary heart disease,energy decline,and respiratory failure patients,two kinds of score has good correlation（r=O.40,P〈O.O5）.Conclusion Modified ABCD Assessment Act does not apply to all patients with emergency rescue,but only to adapt to some patients with chronic severe illness who can be effectively assessed.