APACHEⅡ评分量表对CCU患者近期预后的预测

摘要

目的:评价APACHEⅡ评分量表对CCU患者近期预后的判断作用.方法:对CCU的128例患者评分,分析APACHEⅡ分值及其单项参数对患者近期死亡的判断作用.结果:128例患者中,15例死亡,113例好转出院.存活组的APACHEⅡ分值为(10.91±6.63)分,明显低于死亡组的(22.75±9.91)分(P＜0.01).通过对APACHEⅡ量表急性生理学评分组成成分的分析,提示GCS评分、体温、心率、呼吸频率、平均动脉压、动脉血pH值等六项指标与CCU患者近期预后显著相关.结论:APACHEⅡ评分量表能用于CCU患者预后的判断.%Objective:To evaluate the judging function of APACHE Ⅱ marking scales to CCU patients'recent prognosis. Methods: Marking 128 patients of CCU and analysis the judging function of APACHE II values and monomial parameters to recent death. Results:Of the 128 examples, 15 patients died and 113 patients get better and leave the hospital. The APACHE Ⅱ value of surviving group was ( 10.91 ±6. 63 ), which was obviously lower than death group 's ( 22.75 ±9.91 ). The analysis of APACHE Ⅱ components prompts that six indexes GCS marking,temperature,heart rate,respiratory rate, average arterial pressure and arterial blood PH value, was closely related to recent prognosis of CCU patients. Conclusion:APACHE II marking scales can be used for prognostic judgement of CCU patients.