摘要
[目的]评估分析APACHEⅢ评分系统对判断重症监护病房(ICU)脑损伤病人病情严重程度和预后的价值。[方法]收集整理128例ICU脑损伤危重症病人临床资料(存活组46例,死亡组82例),采用APACHEⅢ评分系统评估脑损伤病人的严重程度和预后。[结果]脑损伤危重症病人存活组与死亡组入院24h内、72h的APACHEⅢ评分的得分越高,病情越重,预后越差,两组病死率比较,P<0.01;将入院72hAPACHEⅢ评分>60分作为预后凶险的判断指标,其灵敏度为92.7%,特异度为97.8%。[结论]APACHEⅢ评分的分值与脑损伤病人病情严重程度和预后有关,作为评价医疗质量较客观的量化指标有实用价值。
Objective： To evaluate the walue of acute physiology and chronic health evaluation Ⅲ （APACHE Ⅲ ） scoring system for judging the severity and prognosis of illness condition of brain injured patients in ICU Methods： The clinical data of 128 cases of severe brain injured patients （46 cases of survival group and 82 cases of death group） in ICU were collected. Both severity and prognosis of all patients were evaluated by APACHE Ⅲ score system. Results： The higher the score of APACHE Ⅲ in patients with revere brain injured within 24 hours and 72 hours after hcxspitalization, the more severe of their illness condition, the worse of their prognosis. In terms of case fatality, there was statistical significant difference between the two groups （P〈0.01 ）. If regarded APACHE Ⅲ scoring 〉60 on 72 h after admission as index to judge the prognosis for brain injured patients, the sensitivity was 92.7% and the specificity was 97.8%. Conclusion： The values of APACHE Ⅲ scoring of severe brain injured patients were correlated with both their severity of illness and prognosis. The APACHE Ⅲ scoring system is of practical value to be regarded as an objective quantitative index for evaluating the quality of medical treatment.
出处
《护理研究（上旬版）》
2006年第1期21-23,共3页
Chinese Nursing Researsh
