摘要
目的:研究危重病患者血小板水平变化与APACHEⅡ评分的关系。方法:危重病患者71例于入院第1d测定血小板水平和APACHEⅡ评分,并按APACHEⅡ评分分为3组,分析各组患者的血小板水平和预后;根据预后分为存活组和死亡组。比较两组的血小板水平和APACHEⅡ评分。结果:不同APACHEⅡ评分分值组患者的血小板水平和死亡率比较有显著性差异(P<0.05);存活组血小板水平较死亡组高,APACHEⅡ评分较死亡组低,两组患者的血小板水平和APACHEⅡ评分比较均有显著性差异(P<0.01)。结论:患者病情越重,血小板水平越低,APACHEⅡ评分越高,死亡率越高。
Objective: To investigate the relationship between the changes of platelet in critically ill patients and APACHE Ⅱ score. Methods: 71 critically ill patients were divided into three groups through the platelet counts and APACHE Ⅱ score at 1st day in the hospital. In every group, it's analyzing their platelet leveLs and prognosis. According to the prognosis, it's divided into two groups, the alive group and dead group. Then comparing with the platelet leveLs and APACHE Ⅱ score. Results: There was significant change in different markers of APACHE Ⅱ score patients compared with platelet leveLs and dead rate(P 〈 0.05). There were higher in alive group than dead group in platelet levels, however it's contrary in APACHE Ⅱ score. There was significant difference between platelet levels and APACHE Ⅱ score in the two groups (P 〈 0.01 ). Conclusions: The state of illness was more serious, the phtdet levels were lower, APACHE Ⅱ scorer was higher, and the dead rate was much more.
出处
《岭南急诊医学杂志》
2006年第4期271-272,共2页
Lingnan Journal of Emergency Medicine