我国社区获得性肺炎病情评估标准与PSI标准的比较研究.pdfVIP

412 临床肺科杂志 2012 年 3 月 第 17 卷第3 期 我国社区获得性肺炎病情评估标准与 PSI 标准的比较研究 李晓艳谢红旗吕碧锋 [摘要] 目的 比较我国社区获得性肺炎(CAP) 病情评估标准与因I 标准的差异。方法 120 例CAP 患者作为研究对象， 分别按 PSI 评分与我国标准分为低、中、高危组。比较两种方法系统预测死亡和 ICU 住院的敏感度、特异度、阳性预测值、阴性预 测值。结果 我国标准预测死亡及人住 ICU 的敏感度高，而特异度较低，相反 PSI 标准敏感度低，而特异度高。结论 在筛选低 风险患者、预测死亡和人住 ICU 方面，PSI 评分标准和我国标准各有差异。 [关键词} 社区获得性肺炎;标准;病情评估 The comparative study of China s community-acquired pneumonia disease assessment standard and PSI stand- ard Ll Xiao-yαn ,XIE Hong-qi ,LÜ Bi -feng (The Second Ho伊tal ofXiamen ) [ Abstract 1 Objective To compare China s community-acquired pneumonia disease 回sessment standard with PSI standard in 臼­ sessing the condition of the patients with the community-acquired pneumonia( CAP). Methods Selected 120 patients as the subject of study. All patients were divided into low , medium and high risk group according to Chinese and PSI score standards. Compared the 皑白ss­ ment system in predicting hospitaI death , ICU sensitivity , specificity , positive predictive value , and negative predictive value in each group. R四ults The Chinese standard brought out the high sensibility in predicted death and ICU stay ,while the specificity is lower ,com- pared to low sensitivity of PSI standard ,and high specificity. Conclusion Our standards are different from PSI score in selecting patients with low risk and in predicting death and ICU stay. [ Key word 1 community-acquired pneumonia (CAP) ;standards; assess the patient s condition 对社区获得性肺炎(CAP) 严重程度的评估及预后的预 情评估和分类。 PSI 评分系统按照人口学因素(年龄、性别) , 测，与确定相应治疗方案、改善重症 CAP 患者预后、准确分流 居住护理情况、基础疾病(肿瘤、肝脏疾病、充血性心衰、脑血 管病、肾脏疾病) ，体检结果(精神状态改变、R 30 次Imin 、收 病人合理应用卫生资源密切