IBMP-10评分方法在呼吸机相关性肺炎中的应用

Application of IBMP-10 score system in patients with ventilator-associated pneumonia

目的研究IBMP-10评分方法在评估呼吸机相关性肺炎(VAP)病情危重程度及预测预后方面的价值。方法采用临床回顾性分析方法,将74例VAP患者按预后分为存活组和未存活组,分别应用IBMP-10评分方法和APACHEⅡ评分系统,在发生VAP当天作病情评分,比较IBMP-10评分方法和APACHEⅡ评分系统在评价VAP病情危重程度和预测预后方面的差异。结果存活组患者的IBMP-10评分值明显低于未存活组(P<0.01),且IBMP-10评分得分值越高,患者病死率越高;当得分值≥3分时,病死率达84.6%;预测死亡敏感性87.5%、特异性96.6%。IBMP-10评分方法和APACHEⅡ评分系统评估和预测能力无显著性差异。结论在评估VAP病情危重程度及预测预后方面,IBMP-10评分过程简单快速、方便记忆和使用,更具有临床实用性。

Objective To investigate the value of IBMP-10 score system in assessing the severity of ventilator-associated pneumonia（VAP） and its prognosis.Methods 74 patients with VAP were classified by prognosis into two groups： survival group and non-survival group.Both IBMP-10 and APACHE II were used as scores to evaluate the severity on the day of the VAP onset and the differences in the severity and prognosis of VAP between IBMP-10 score and APACHE II score system.Results IBMP-10 and APACHE II scores in survival group significantly decreased compared with non-survival group（P0.01）.There was a positive correlation between the high IBMP-10 score and the rise of mortality;when the score was ≥3,the mortality was 84.6%;The prediction sensitivity to death was 87.5% and specificity was 96.6%.There were no significant differences between IBMP-10 and APACHE II scores in the predicting the disease severity and prognosis.Conclusion IBMP-10 score is a simple,rapid and convenient method easy to memorize and use in predicting the disease severity and prognosis in patients with VAP.