摘要
目的研究危重病评分系统对急诊内科危重病人预后预测的对比结果。方法选取2005年10月～2006年8月的急诊内科危重病人103例,应用 APACHEIⅡ、APACHEⅢ、SAPSⅡ、MPM_0、MPM 24评分系统计算入急诊抢救室当时及24 h 最差值时分值及预测病死率,分析比较入急诊抢救室当时及24 h 最差值时对预测预后的差异有无统计学意义。结果各种评分系统在人院当时及24 h 最差值时取值对预后预测均无明显差异(P>0.05)。各种评分系统的分值和预计死亡率在存活组和死亡组之间差异显著,且入院时分数越高,病情越重,死亡率越高。结论各种评分系统均可用于预测急诊内科危重病人的预后。选取入院当时的参数进行评分,对预测预后无明显影响,但仍以入院时 APACHEⅡ评分系统为首选。
Objective To investigate the possibility of intensive scoring systems in predicting prognosis on intensive patients in emergency internal department. Methods 103 patients, who were hospitalized to emergency rescue room from Oct. 2005 to Aug 2006, were scored and their predicted mortality were calculated with APACHE Ⅱ, APACHE Ⅲ, SAPS Ⅱ, MPM0 ,MPM 24. scoring systems, both with the time when the patients were hospitalized and with the time when the score was worst with in 24 hours. And then analyzed the difference between both of the time. Results There was no significant difference between the time. There had significant difference between survivor group and nonsurvivor group for scoring values and predicted mortality of all four scoring systems. When the scoring was higher , the mortality increased. Conclusion All of the four scoring systems could be used to evaluated the predicting prognosis on emergency internal illness. There was no significant difference on predicting prognosis at the time when the patients were hospitalized ,but APACHEⅡ might be better.
出处
《临床急诊杂志》
CAS
2007年第3期128-130,共3页
Journal of Clinical Emergency
