APACHEⅡ对重症肺结核并COPD机械通气患者预后评估的价值

Value of APACHE Ⅱ in prognosis evaluation of patients with severe pulmonary tuberculosis combined with COPD receiving mechanical ventilation

目的研究应用急性病理生理学和长期健康评价(APACHEⅡ)评估重症结核合并慢性阻塞性肺病(COPD)机械通气患者预后的价值。方法回顾分析2009年1月～2011年12月收住本院ICU的189例重症肺结核合并COPD机械通气患者临床资料,研究患者收入ICU 24 h内的APACHEⅡ评分结果与预后的关系。结果共纳入189例患者,其APACHEⅡ评分为平均18.8分;随着APACHEⅡ评分增高,患者实际病死率及预计病死率逐渐增高。结论 APACHEⅡ评分可用于重症肺结核合并COPD机械通气患者预后评估,对临床治疗具有指导意义。

Objective To study the value of applying acute pathophysiology and APACHE Ⅱ to the prognosis evaluation of patients with severe pulmonary tuberculosis combined with COPD and receiving the mechanical ventilation. Methods A retrospective analysis was made in the clinical data of 189 patients with severe pulmonary tuberculosis combined with COPD and receiving the mechanical ventilation in ICU of our hospital from January 2009 to December 2011. Research was carried out on the correlation between the APACHE Ⅱ scores of these cases 24 h within the admission in ICU and their prognosis. Results Totally 189 patients were involved. The average APACHE Ⅱ score was 18.8 points. Along with the increase of the APACHE score, the patients＂ actual case fatality and expected mortality gradually increased. Conclusion APACHE Ⅱ score can be used in the prognosis evaluation of patients with severe pulmonary tuberculosis combined with COPD and receiving the mechanical ventilation. It has guiding significance for the clinical treatment.