摘要
目的：探讨急性生理学和慢性健康状况评分Ⅱ （APACHE Ⅱ）对急诊危重患者病情及预后的评估效果.方法：142例危重患者的资料用APACHE Ⅱ进行评分并预测病死率,对所得评分结果进行分级并比较.结果：患者随着APACHE Ⅱ评分增高,预计病死率与实际病死率增高,呈显著正相关.142 例预计病死率为（55.8±7.4）%,实际病死率为52.1%,各评分分段间预计病死率差异具有统计学意义（P〈 0.05）.存活组和病死组两组评分和预测病死率比较差异具有显著性（P〈 0.01）.结论：APACHEⅡ评分系统能够有效评估病情的危重程度,计算出患者的死亡风险率、群体病死预测率,评估结果比较准确,使用便捷,为患者的预后提供良好的诊断依据.
Objective.. To investigate the evaluation effect of acute physiology and chronic health evaluation Ⅱ（APACHE Ⅱ ） on the critically ill patient＇s condition and prognosis results. Methods： 142 cases of critically ill patients data were evaluated with APACHE Ⅱ and mortality rates were predicted, then, the results were analyzed and compared. Results： With APACHEⅡ score increasing, expected mortality and actual mortality of patients increased too, showing a significant positive correlation. The total expected mortality rate was （55.8±7.4）%, actual mortality was 52.1%, the differences of mortality between different sub--score groups were statistically significant （P〈0. 05）. Scores and predicted mortality of two groups were significant difference （P〈0.01）. Conclusion： APACHE 11 score system could effectively assess the critical level of risk, calculate the death rate of patients and groups, the predictive results of the assessment was accurate, easy to use, which could provide a good diagnosis for patients prognosis.
