APACHEⅡ评分在ICU产科危重患者监护中的应用

目的：探讨ICU 产科危重患者监护中采用 APACHEⅡ评分的效果.方法：随机抽取 2014 年 1月 -2016 年 1月本院ICU病房收治的 78 例产科危重患者,所有患者家属均知情同意.对本组78例患者实施APACHEⅡ评分系统检测,对其预后进行预测. 结果 ：本组患者总体APACHEⅡ评分为（20.0±9.6）分;76例生存出院, APACHEⅡ评分为（18.2±7.0）分;2例死亡,APACHEⅡ评分为（30.4±10.5）分.生存出院组患者与死亡组患者APACHEⅡ评分有显著性差异（P〈0.05）;本组患者APACHEⅡ评分11-20分、21-30分、〉30分时,其评估预后风险的敏感性均为100.0%.结论：在ICU产科危重患者监护中采用APACHE Ⅱ评分系统,能有效评估患者预后,值得进行深入研究和推广.

Objective： To discuss the effect of APACHE II scores in affordability ICU. Methods： Choosed 78 cases of obstetrics ICU from Jan. 2014 to Jan. 2016 detect by APACHE II scres to predict prognosis. Results： The APACHE II scres of all patients was （20.0±9.6）, and there were 76 cases survived as the scrores was （18.2±7.0）, and 2 cases dead as the scores was （30.4±10.5）. There was significant difference between discharge patients and dead patients. The sensitive rate was 100.0% of 11-20, 21-30 and 30 scores. Conclusion： Using APACHE II scores in obstetrics ICU is effective to detect prognosis to extend.