摘要
目的比较急性生理和慢性健康估测评分Ⅱ(APACHEⅡ)和格拉斯哥昏迷量表(GCS)在预测重症监护病房中多发伤患者死亡危险度和生存可能性等方面的功效。方法收集合并全身创伤的颅脑创伤患者534例临床资料。评估并比较GCS和APACHEⅡ预测患者预后的敏感性,特异性和准确率。结果 APACHEⅡ的平均生存评分约为28分,死亡评分约为49分;对应的GCS评分分别约为9分和6分。APACHEⅡ的ROC曲线下面积为0.836,GCS为0.424。结论对于颅脑创伤的多发伤患者,GCS能够对患者意识进行快速简单有效的评估,而对于多发伤患者死亡危险度的预测,APACHEⅡ评估效果较为可靠。
Objective To compare effect of GCS and APACHEⅡ in predicting effectiveness of the mortality risk and the survival possibility in ICU patients with multiple trauma. Methods This study collected 534 cases of intensive care unit with traumatic brain injury and body trauma. To evaluate and compare the sensitivity,specificity and accuracy of GCS and APACHEⅡ in predict prognosis. Results APACHEⅡ average survival score was about 28 points,death score was about 49. GCS score approximately 9 points and 6 points correspondingly. The area under the ROC curve APACHEⅡ was 0. 836,GCS was 0. 424. Conclusion For patients with multiple injuries and traumatic brain injury,patients could be simple and effective evaluated quickly by GCS. For predicting the risk of death of patients with multiple trauma,the assess effect of APACHEⅡ is more reliable.
出处
《临床和实验医学杂志》
2016年第6期593-596,共4页
Journal of Clinical and Experimental Medicine
基金
国家自然科学基金青年科学基金项目(编号81101710)
