摘要
目的比较SOFA评分与APACHEⅡ评分在百草枯中毒预后评估中的价值。方法回顾分析52例百草枯中毒患者的临床资料,比较SOFA评分与APACHEⅡ评分与病死率、并发症及辨别力的关系。结果 SOFA评分与APACHEⅡ评分具有显著一致性(P<0.01);死亡组两种评分都显著高于存活组(P<0.01);两种评分≥5时病死率均明显升高;两种评分不同值的并发症发生率均具有显著差异(P<0.01);SOFA评分、APACHEⅡ评分ROC曲线下面积分别为0.914±0.039和0.893±0.044。结论 SOFA评分与APACHEⅡ评分能够比较准确的评估百草枯中毒的严重程度及预后。
【Objective】 To compare the prognostic values of SOFA score（sequential organ failure assessment） and APACHEⅡ score in patients with paraquat poisoning.【Methods】 The SOFA and APACHEⅡ scores,mortality,complications and discriminability were measured in 52 patients with paraquat poisoning.【Results】 There was a significant concordance in prognostic values of SOFA score and APACHEⅡ score（P 0.05） in paraquat poisoning.There was a significant difference in SOFA scores and APACHEⅡ scores of survivor and death groups（P 0.05）.The mortality increased obviously when SOFA score≥5 or APACHEⅡ score≥5.There was a significant difference in complication rates at different SOFA score and APACHEⅡ score（P 0.05）.The areas under ROC curves of SOFA score and APACHEⅡ score were（0.914±0.039） and（0.893±0.044） respectively【.Conclusion】 Both SOFA and APACHEⅡ scores can be used to predict the outcomes of paraquat poisoning.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2010年第6期851-853,857,共4页
China Journal of Modern Medicine
关键词
序贯器官衰竭评分
APACHEⅡ评分
百草枯中毒
预后
acute physiology and chronic health evaluationⅡ（APACHEⅡ）
sequential organ failure assessment score（SOFA）
paraquat poisoning
prognosis
