摘要
目的探究APACHE Ⅱ评分联合BNP在危重病患者预后评价中的意义。方法从该院2014年1月—2015年12月以来,方便选取80例在ICU病房的危重病患者,患者进入医院后立刻进行APACHE Ⅱ评分,并且对患者的BNP进行24小时的检测,观察患者的预后情况。死亡患者为死亡组,存活患者为存活组。结果 80例危重病患者中,有57例存活,有23例病死,病死率为28.75%,在死亡组的患者,其APACHE Ⅱ评分(29.46±5.73)分和BNP浓度(1 906.26±1059.17)ng/L明显比存活组[(2.34±6.71)分,(861.13±1 006.75)ng/L],患者高,数据比较差异有统计学意义(P<0.05)。并且患者呼吸机的使用率、病死率、APACHE Ⅱ评分随着血清BNP浓度的增加而增加,数据比较差异有统计学意义(P<0.05)。结论 APACHE Ⅱ评分联合BNP在危重病患者的预后评价中有重要的意义,APACHE Ⅱ评分和BNP评分的升高能够帮助预测患者的预后指标,比较准确地判断ICU危重病患者的病情程度。
Objective To study the significance of APACHE Ⅱ score and BNP in the prognosis evaluation of critically ill patients.Methods 80 cases of critically ill patients in ICU ward in our hospital from January 2014 to December 2015 were selected and scored by APACHE Ⅱ as soon as the patients were admitted into the hospital,and the BNP were tested for 24 h and the prognosis of patients was observed and the death patients were death group,and the survival patients were survival group.Results In the 80 cases,there were 57 survival cases and 23 death cases,and the death rate was 28.75%,in The death group,the APACHE Ⅱ score and BUP concentration were obviously higher than those in the survival group [（29.46±5.73）points,（1 906.26±1 059.17）ng/L vs[（2.34±6.71）Points,（861.13±1 006.75）ng/L],and the differences between groups had statistical significance（P〈0.05）and the use rate of respirator,case fatality rate and APACHE Ⅱ score increased with the increase of BNP concentration,and the differences had statistical significance（P〈0.05）.Conclusion The APACHE Ⅱ score and BNP is of important significance to the prognosis evaluation of critically ill patients,and the increase of APACHE Ⅱ score and BNP score can help patients evaluate the prognosis indexes and accurately determine the disease degree of ICU patients.
出处
《中外医疗》
2017年第8期62-63,66,共3页
China & Foreign Medical Treatment
