SIRS评分与APACHEⅡ评分对急诊科AECOPD患者预后评估的研究

Assessment of prognosis in the patients with AECOPD by SIRS and APACHEⅡ scoring systems

目的探讨SIRS和APACHEⅡ两个评分系统对急诊科AECOPD患者预后的评估。方法随机观察入住本院急诊ICU的80例AECOPD患者,记录患者的一般情况、预后,并对全部患者入院24 h内测量各项指标,取最差值进行SIRS和A-PACHEⅡ评分。根据预后将患者分为死亡组和存活组,并对两组患者的和评分的均值进行比较。结果死亡组和存活组比较,SIRS评分和APACHEⅡ评分的均值比较差异有统计学意义(P<0.001),且两个评分系统具有一致性(P>0.05)。结论SIRS和APACHEⅡ两个评分系统均可对急诊老年下呼吸道感染患者的预后进行评估,且SIRS数据简便易得,是一个简单、独立的评分标准。

Objective To investigate the assessment of prognosis in the patients with AECOPD by SIRS and APACHE Ⅱ scoring systems respectively.Metheods To observe randomly 80 cases with AECOPD who were hospitalized in ICU of emergency room.The general state and indicators were recorded within 24 hours,and the worst value was taken to score by SIRS and APACHE Ⅱ.The patients were divided into death group and survival group,and their mean values were compared.Results In the death group and survival group,comparison of means of SIRS and APACHE Ⅱ showed no statistical difference (t=7.158、3.488,P<0.001),and consistency(χ2=0.90,P>0.05).Conclusion It is a simple and independent criteria to assess the prognosis of elderly emergency patients who sufferd the lower respiratory tract infection by SIRS and APACHE Ⅱ scoring systems.