病情程度评估在社区获得性肺炎患者中的应用价值

Application value of illness degree evaluation in community acquired pneumonia

目的探讨病情程度评估在社区获得性肺炎患者中的应用价值。方法选取于我院住院的社区获得性肺炎患者300例，分别采用肺炎严重程度评分（PSI）标准和我院自制大兴区社区获得性肺炎病情评估标准评估病情。结果300例社区获得性肺炎患者中，33例人住ICU，死亡17例。大兴区社区获得性肺炎病情评估标准和PSI评估标准分别有232例和106例属于低危组，分别占77．33％和35．33％，差异有统计学意义（P〈0．01）；按PSI评估标准低危组232例中入住ICU4例，其中3例死亡，而按大兴区社区获得性肺炎病情评估标准低危组无人住ICU和死亡发生。大兴区社区获得性肺炎病情评估标准和PSI评估标准分别有43例和126例属于中危组，分别占14．33％和42．00％，差异有统计学意义（P〈0．01）；按PSI评估标准中危组中人住ICU16例，其中7例死亡，而按大兴区社区获得性肺炎病情评估标准中危组入住ICU9例，其中6例死亡，中危组死亡率显著低于高危组（P〈0．01或〈0．05）。大兴区社区获得性肺炎病情评估标准和PSI评估标准分别有25例和68例属于高危组，分别占8．33％和22．67％（P〈O．05）；按PSI评估标准中危组中入住ICU13例，其中7例死亡，而按大兴区社区获得性肺炎病情评估标准中危组入住ICU24例，其中11例死亡，差异无统计学意义（P〉0．05）。结论大兴区社区获得性肺炎病情评估标准可准确评估社区获得性肺炎患者病情，提高临床医师对社区获得性肺炎的分层治疗，是一种适合本地区的社区获得性肺炎病情的评估标准。

Objective To investigate the application value of illness degree evaluation in community acquired pneumonia. Methods A total of 300 cases of patients with community acquired pneumonia in our hospital were selected and the illness degree was evaluated with pneumonia severity score （PSI） and Daxing district community acquired pneumonia condition evaluation criteria （DC）, respectively. Results There were 33 cases in ICU and 17 cases died. According to DC and PSI,there were 232 cases and 106 cases in low risk group, accounting for 77.33% and 35.33%, respectively, with significant difference （ P 〈0.01 ）. There were 4 cases in ICU and 3 cases died by PSI and no one by DC. According to DC and PSI,there were 43 cases and 126 cases in low risk group, accounting for 14.33% and 42.00%, respectively, with significant difference （ P 〈0.01）. There were 26 cases in ICU and 7 cases died by PSI and 9 cases in ICU and 6 cases died by DC. According to DC and PSI,there were 25 cases and 68 cases in high risk group, accounting for 8.33% and 22.67% ,respectively （ P 〈0.01）. There were 13 cases in ICU and 7 cases died by PSI and 24 cases in ICU and 11 cases died by DC. Conclusions Daxing district community-acquired pneumonia condition evaluation criteria could exactly evaluate the illness degree of community-acquired pneumonia and was an effective method for us.