摘要
目的探讨SIRS和APACHEⅡ两个评分系统对急诊ICU老年下呼吸道感染患者预后的评估。方法随机观察我院急诊ICU的101例老年下呼吸道感染患者,记录患者的一般情况、预后,并对全部患者入院24h内进行APACHEⅡ和SIRS评分。根据预后将患者分为死亡组和存活组,并对两组患者的APACHEⅡ和SIRS评分的均值进行比较。结果死亡组和存活组比较,APACHEⅡ评分和SIRS评分的均值比较差异有统计学意义(t=4.37、6.37,P<0.001),且两个评分系统具有一致性。结论SIRS和APACHEⅡ两个评分系统均可对急诊ICU老年下呼吸道感染患者的预后进行评估。
Objective To investigate the effectiveness of SIRS and APACHE H in the prognostic evaluation of aged people with lower respiratory tract infection in Emergency ICU. Method A total of 101 aged people with lower respiratory tract infection were enrolled in our study. General condition, the prognosis as well as SIRS and APACHE H scores within 24 hours after admission were evaluated and recorded. All the patients were divided into survival group and death group according to the prognosis. The mean of SIRS and APACHE Ⅱ scores were compared statistically between two groups. Results There was a significant difference in SIRS and APACHE Ⅱscores between two groups and two systems were consistent with each other in the evaluation. Conclusion SIRS and APACHE Ⅱ systems are both valuable in the prognostic evaluation of aged people with lower respiratory tract infection in Emergency ICU. However, SIRS is more easy and useful in clinical application.
出处
《中国急救医学》
CAS
CSCD
北大核心
2007年第7期599-600,共2页
Chinese Journal of Critical Care Medicine
