摘要
目的 比较Marshall评分、SOFA评分与 95庐山标准对MODS患者的预后评估。方法 回顾性分析多器官功能障碍综合征 (MODS)患者住院资料。结果 根据本组资料三种评分系统的病情严重度分值将患者分成轻中重三组 ,分别计算各组MODS患者病死率 ,结果 ,三种评分的判断结果一致 ,即随着患者病情加重 (即各评分的分值升高 )而死亡率升高 ,轻症患者病死率为 14 6%~ 2 0 % ,重症患者为 72 7%~ 83 3 %。与存活组相比 ,死亡组的APACHEII分值、三种MODS评分的分值较高 ,发生功能障碍的器官数目较多 (P <0 0 5 )。APACHEII评分、SOFA评分、 95庐山标准、Marshall评分的ROC曲线下面积依次为 0 75 0 ( 0 0 63 )、 0 73 0 ( 0 0 67)、 0 70 1( 0 0 69)、 0 686( 0 0 73 )。结论 95庐山标准、Marshall评分、SOFA评分三者都能对MODS的预后进行较为准确的评估。
Objective To compare Marshall ’s score,SOFA,and 95’Lushan criteria scoring system for their predictive vol ue for the prognosis of MODS patients . Methods Analyze the clinical data of pat ients with multiple organ dysfunction syndromes were analyzed retrospectively .According to scoring points of patient’s severity,the patients were divi ded into three groups,and then the mortality in each group was calculated respe ctively. Results The results showed that t hree score systems have consistency.When the mortality was higher,when the score points became higher.The mortality o f mild cases was 14.6%~20%,and the mortality of severe case was 72.7%~83.3 %.Compa red with survival group,the points of APACHEII,three kinds of MODS scores in the death group were higher,and the number of dysfunction organ were increased ( P <0.05).Area under curve of ROC of APACHE Ⅱ,SOFA,95 Lushan crite ria,and Marshall score were 0.750(0.063),0.730(0.067),0.701(0.069 ),and 0.686(0.073)respectively. Conclusion 95 Lushan criteria,Marshall score,and SOFA score system are useful for the estimation of the prognosis of MODS patient’s condition precisely.
出处
《临床和实验医学杂志》
2004年第1期5-8,共4页
Journal of Clinical and Experimental Medicine
关键词
多器官功能障碍综合征
病情严重度评分
Multiple organ dysfunction syndr ome(MODS)
Score system of severity