摘要
目的 :探讨SOFA评分、血乳酸、降钙素原和APACHEⅡ评分在脓毒症预后评估中的临床价值。方法:采用脓毒症3.0标准选取2015年1月~2017年6月收治的脓毒症患者97例,根据28天预后分为生存组76例和死亡组21例,比较2组患者血乳酸、降钙素原、SOFA评分和APACHEⅡ评分的变化,采用受试者工作特征曲线(ROC)分析各项指标对脓毒症预后的预测价值。结果:死亡组患者血乳酸、降钙素原、SOFA评分和APACHEⅡ评分均明显高于生存组,差异均有统计学意义(P<0.05)。ROC曲线显示,血乳酸、降钙素原、SOFA评分和APACHE评分的曲线下面积分别为0.82、0.74、0.85和0.78。结论:血乳酸、降钙素原以及病情评分对脓毒症患者预后的评估具有临床指导意义,采用脓毒症3.0标准,SOFA评分显示优于其他指标的预后预测价值。
Objective： To study SOFA score, the blood lactate （Lac） and procalcitonin （PCT） in assessing theprognosis of sepsis.Methods： From Jan.2015 to Jun.2017, 98 patients with sepsis 3.0 were selected.The patientswere divided into survival group （n=76） and death group （n=22） according to the prognosis after 28 days.The bloodlactate（Lac）, procalcitonin（PCT）, SOFA score and APACHE II score between the two groups were compared, to analyzethe value of the indicators in predicting the prognosis of patients with sepsis through ROC curves of everyindicators.Results：The blood lactate, procalcitonin, SOFA score and APACHEⅡ score of the death group werehigher than the survive group.The differences of them were all have statistical significance（ P〈0.05）.The results ofRoc Curve show that the area under the curve of the blood lactate, procalcitonin, sofa score and APACHEⅡscorerespectively were 0.82, 0.74, 0.85, 0.78.Conclusion： The blood lactate, procalcitonin and the grade of state of illnissare important of clinical guidance for the evaluate of prognosis of patients with sepsis.The application of the sepsis3.0, the predicted value of prognosis of sofa score is better than other indicators.
作者
梁彦平
管恋
李尧炜
李晓峰
LANG Yan-ping;LI Xiao-feng;GUAN Lian;LI Yao-wei(Emergency Center,the People＇s Hospital of Xinjiang Shihezi,Xinjiang Shihezi,832000;Emergency ICU,thePeople＇s Hospital of Xinjiang Shihezi,Xinjiang Shihezi,832000;Shihezi University School of Medicine,XinjiangShihezi,832002)
出处
《农垦医学》
2018年第2期115-118,共4页
Journal of Nongken Medicine
基金
新疆生产建设兵团第八师石河子市科技计划项目(2016HZ21)
