严重创伤患者肺损伤预测评分对短期预后评估的价值

Short-term prognostic value of lung injury prediction score in severe trauma patients

目的探讨肺损伤预测评分(LIPS)对严重创伤患者短期预后评估的价值。方法对58例因各种因素导致严重创伤患者的临床资料进行回顾性分析,评估住院14天生存情况,比较存活组和死亡组肺损伤预测评分、急性生理与慢性健康估测评分(APACHEⅡ评分)、严重创伤程度评分(ISS),并进行相关性分析。评价LIPS、APACHEⅡ对预测严重创伤患者死亡的风险。结果 58例严重创伤患者死亡13例,存活45例。死亡组LIPS明显高于生存组(P<0.05),LIPS高水平组(>12)病死率显著高于LIPS低水平组(<12)(P<0.05)。比较Pearson相关性分析显示,LIPS与APACHEⅡ、ISS具有良好的相关性(P<0.05)。LIPS、APACHEⅡ均对预测严重创伤患者预后有统计学意义,AUC>0.7。结论 LIPS与严重创伤患者预后相关,可以作为预测患者死亡风险的指标之一。

Objective To explore the short-term prognostic value of lung injury prediction score （LIPS） in severe trauma patients. Methods The clinical data of 58 patients with various factom leading to severe trauma were retrospectively analyzed. Their survival situation of 16 days in hospital was evaluated. APACHE II score and injury severity score （ISS） were recorded. Results There were 13 cases of death reported in 58 severe trauma patients and 45 cases survived. LIPS was obviously higher in the death group than in the survival group （ P 〈 0. 05 ）. The mortality was higher in the high LIPS group （ LIPS 〉 12 ） than in the low LIPS group （ LIPS 〈 12） （ P 〈 0. 05 ）. Pearson correlative analysis showed LIPS, APACHE II and ISS had a good correlation （ P 〈 0. 05 ）. LIPS and APACHE II were statistically significant in predicting prognosis of patients with severe trauma （ AUC 〉 0. 7 ）. Conclusion The prognosis of patients with severe trauma is related with LIPS, which can be used as the indicator in predicting the risk of death.