摘要
目的探讨急性生理学与慢性健康状况评分(APACHE)Ⅱ对神经内科监护室脑卒中患者死亡风险评估的价值。方法选择北京安贞医院神经科监护室收治的急性脑卒中患者143例。入院24 h内采集患者各项生理指标计算其APACHEⅡ,比较生存患者和死亡患者的APACHEⅡ量表评分,以及由APACHEⅡ预测患者病死率的价值。结果死亡患者与生存患者APACHEⅡ比较,死亡患者为(22.3±5.9)分,生存患者为(9.5±4.5)分,差异有统计学意义(P<0.05)。由APACHEⅡ计算的预期病死率与实际病死率比较,预测有较好的一致性。结论 APACHEⅡ对神经科监护室患者的病情及预后评估具有可行性。
Objective To investigate the value of acute physiology and chronic health evaluation Ⅱ （APACHE Ⅱ ） in assessing the death risk of emergency and critical stroke patients in intensive care unit of neurology department （NICU）. Methods One hundred and forty-three consecutive patients with acute stroke at NICU were enrolled in this study between November 2008 and No- vember 2009. The data of physiological factors were collected in the first twenty-four hours after admission to hospital. The average scores of APACHE n were compared between the dead patients and the surviving patients. The prediction of mortality by APACHEⅡ was evaluated. Results The average scores of APACHEⅡ were （22.3±5.9） in dead patients and（9.5±4.5） in surviving patients,with significant t test result （P 〈 0.05）. The expectative mortality calculated with APACHE Ⅱ was in accordance with real mortality. Conclusion The use of APACHE Ⅱ in evaluation of prognosis of patients in NICU is feasible.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2011年第6期527-529,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
