摘要
目的通过两组同质资料比较急性生理功能和慢性健康状况评分系统Ⅱ（APACHEⅡ）对医院感染发生率、发生部位以及患者预后评价的一致性，探讨APACHEⅡ评分与医院感染各指标评价的稳定性。方法选取2007-2008年入住重症监护病房（ICU）病例1897例，对上述患者进行APACHEll评分，并对其医院感染发生情况进行了前瞻性调查，进行APACHEⅡ评分与医院感染相关性研究，并将上述资料与2004～2005年入住ICU 1007例的医院感染发生情况进行了比较。结果随着APACHEⅡ评分分值增加，ICU患者医院感染发生率、死亡率均有增加趋势且均呈线性关系，APACHEⅡ〉15分，医院感染发生率、死亡率显著增加。结论APACHEⅡ评分结果与患者发生医院感染情况有较强相关性，足较为稳定的医院感染的预测指标，APACHEⅡ评分〉15分患者为ICU医院感染重点防控对象。
OBJECTIVE To compare the homogeneous data of the two groups, and study the stability of evaluation made by acute physiology and chronic health evaluation （APACHE Ⅱ） score with nosocomial infection. METHODS Clinical data from 1897 patients in ICU during from 2007 to 2008 were evaluated with APACHE Ⅱ score system,and a forward survey of nosocomial infection was made, The above data were compared with 1007 ICU cases in our hospital during 2004 to 2005. RESULTS Along with the increase in APACHE Ⅱ score, nosocomial infection rate and mortality showed rising trend and they were with linear relation. When APACHE Ⅱ score was more than 15, the nosocomial infection rate and mortality showed significant increase. CONCLUSIONS APACHE Ⅱ score results and nosocomial infection have a strong correlativity on among the patients whose APACHEⅡ score is more than 15 and they are the key targets for prevention and control. APACHE Ⅱ score is a good forecast index.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第2期183-186,共4页
Chinese Journal of Nosocomiology
基金
首都医学发展科研基金(2005-3106)
关键词
APACHEⅡ评分
重症监护病房
医院感染
Acute physiology and chronic health evaluation Ⅱ score
Intensive care unit
Nosocomial infection
