摘要
目的评价急性生理与慢性健康状况评分Ⅱ(APACHEⅡ)评分系统在妇产科危重症患者病情评估中的适用性和可行性。方法对42例妇产科危重症患者进行APACHEⅡ评分,比较组间死亡率的差异。结果患者APACHEⅡ评分分值的增加,实际病死率逐渐增加,评分小于20分与评分大于20分组相比,χ2=5.64,P<0.05,差异有统计学意义;评分小于30分与大于30分组比较,χ2=4.47,P<0.05,差异亦具有统计学意义。结论 APACHEⅡ评分≥31分时,实际病死率显著增加,APACHEⅡ评分≤20分时,实际病死率低,无需入ICU治疗,因此可降低治疗费用,节约医疗资源。
[Objective]To evaluate the applicability and feasibility of the acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) score system for critically ill patients in obstetrics and gynecology.[Methods]APACHE Ⅱ score was conducted in 42 obstetric and gynecologic patients who were under critical condition,and the differences between groups were compared.[Results]The actual mortality increased with the increase of APACHE Ⅱ score.There was significant difference between the group of scores 20 and the group of scores 20(χ2 = 5.64,P0.05),and the difference between the group of score 30 and the group of scores 30 was significant(χ2=4.47,P0.05).[Conclusion]The actual mortality increases significantly while APACHE Ⅱ score is greater than or equal to 31.The actual mortality is low while APACHE Ⅱ score is less than or equal to 20,and patients need not be treated in ICU,so as to reduce the costs and save medical resources.
出处
《职业与健康》
CAS
2011年第10期1128-1129,共2页
Occupation and Health
关键词
妇产科疾病
急性生理与慢性健康状况评分Ⅱ
Obstetrical and gynecological diseases
Acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) score