摘要
目的探讨急性生理学与慢性健康状况评分Ⅱ(APACHEⅡ评分)对重症中暑患者预后判断的价值。方法选择重症中暑患者40例,其中存活31例、死亡9例。收集其入院24 h内APACHEⅡ评分,并进行受试者工作特征曲线(ROC曲线)分析。结果 40例重症中暑患者APACHEⅡ评分为6～32(15.51±7.62)分,其中存活组为(12.32±5.03)分、死亡组为(26.13±4.34)分,两组比较P<0.01。随着APACHEⅡ评分的增高,重症中暑患者病死率逐渐升高。APACHEⅡ评分对死亡判断的ROC曲线下总面积为0.976,APACHEⅡ评分19.5分为最佳诊断界点,其敏感性和特异性分别为100%、86.7%。结论 APACHEⅡ评分能预测重症中暑患者的严重程度,A-PACHEⅡ评分≤19.5分可作为患者预后死亡的预警指标。
Abstract： Objective To explore the prognostic value of APECHE U score in patients with severe heat stroke. Methods 40 patients with heatstroke, in which 31 cases survived, 9 cases dead, were seleeed. TheAPACHEⅡ scores of patients in first 24 h of admission were collected, and receiver operating characteristic curves （ ROC curve） werer drawn. ResultsAPACHEⅡ score of the 40 patients with heatstroke was 6 -32 （15.51±7.62 ）, in which the survival group was （ 12.32± 5.03 ）, the dead group was （26.13± 4.34） （ P 〈 0.01 ）. With the increase of APACHEⅡ score, the fatality rate gradually increased. The total area under the ROC curves of APECHE Ⅱ score for death judgment was 0. 976,APACHEⅡ score of 19.5 was the best diagnostic point, the sensitivity was 100%, and specificity was 86.7%. Conclusions The APACHEⅡscore could predict severity of patients with heatstroke, and APACHE Ⅱ score ≤ 19.5 could be used as the prognosis for death of the patients.
出处
《山东医药》
CAS
2012年第9期64-65,共2页
Shandong Medical Journal
基金
广东省自然科学基金项目(9151001002000021)
