APACHE Ⅱ评分对有机磷中毒患者病情评估的意义

The value of APACHE Ⅱ scoring system in assessment of severity and prognosis of patients with organophosphate insecticide poisoning

目的:探讨应用急性生理和慢性健康状况(APACHEⅡ)评分评估有机磷农药中毒患者的病情严重程度及预后的意义。方法:回顾性分析我院有机磷农药中毒患者51例,记录与APACHEⅡ评分系统相关的数据,并对患者的APACHEⅡ评分进行统计学分析。结果:51例患者APACHEⅡ评分3～28分。7例死亡患者APACHEⅡ评分(21.43±5.41)分,44例存活患者APACHEⅡ评分(8.75±3.29)分,两组之间差异有统计学意义(P<0.01)。结论:APACHEⅡ评分对中毒的预后预测可能有一定的作用。

Objective：To evaluate the severity and the prognosis of the organophosphate insecticide poisoning by using APACHE Ⅱ scoring system.Method：Fifty-one patients with organophosphate insecticide poisoning admitted in our hospital were studied retrospectively.Data associated with APACHE Ⅱ scoring system were recorded and analyzed statistically.Result：The APACHE Ⅱ score of the 51 patients enrolled in our study were ranged from 3 to 28.The APACHE Ⅱ score was （21.43±5.41）in the 7 deaths and （8.75±3.29）in the 44 survivors.There was significant differences between the two groups（P〈0.01）.Conclusion：APACHE Ⅱ scoring system may have some value in predict the prognosis of organophosphate insecticide poisoning.