呼吸衰竭患者不同预后评分比较.docVIP

呼吸衰竭患者不同预后评分比较 　　【摘要】 目的：试图比较现行三种预后评分对呼吸衰竭患者预后的判别能力；方法：选取2009年1月-2012年3月入住本院符合呼吸衰竭诊断标准的138例患者，应用三种不同评分（APACHEⅡ，APACHEⅢ和SAPSⅡ）评估其预后情况，根据入院30 d存活情况比较不同评分的预测能力。结果：死亡组患者三种评分分值均明显高于存活组，同时ICU住院天数明显短于存活组，差异均有统计学意义（P 　　【关键词】 呼吸衰竭； 预后； 急性生理及慢性健康状况 　　Comparison of Different Scoring Systems in Patients with Respiratory Failure/LIAN Xiao-feng，XIA Yong-hua，XU Zhi-qiang，et al.//Medical Innovation of China，2014，11（12）：004-007 　　【Abstract】 Objective：To investigate the capability of three scoring systems in patients with respiratory failure.Method：138 patients diagnosed as respiratory failure admitted to our hospital from January 2009 to March 2012 were selected，and evaluated their prognosis with three scoring systems（APACHEⅡ，APACHEⅢ and SAPS Ⅱ），and according to the admission of 30 d survival，the predictive ability of these scoring systems were compared.Result：Prognosis scores of three scoring systems in the death group were significantly higher than those of the survival group，at the same time，length of ICU stay was significantly shorter than the survival group，the differences were statistically significant（P 　　2 结果 　　2.1 不同性别间各预后评分比较 入院后30 d存活者79例（57.25%），死亡者59例（42.75%），其中不同性别的患者病死率、ICU住院天数及预后评分比较差异均无统计学意义（P0.05），见表1。 　　2.2 存活组和死亡组预后评分的比较 根据入院后30 d病死情况分为存活组和死亡组，比较其预后评分，死亡组的APACHEⅡ、APACHEⅢ、SAPSⅡ评分均明显高于存活组，同时ICU住院天数明显短于生存组，差异均有统计学意义（P 　　参考文献 　　[1] Del Sorbo L，Slutsky A S.Acute respiratory distress syndrome and multiple organ failure[J].Curr Opin Crit Care，2011，17（1）：1-6. 　　[2] Wang X P，Zhu Q，Xue Q，et al.Role of the lung in the progression of multiple organ dysfunction syndrome in ageing rat model[J].Chin Med J（Engl），2012，125（15）：2708-2713. 　　[3] Kao H C，Lai T Y，Hung H L，et al.Sequential oxygenation index and organ dysfunction assessment within the first 3 days of mechanical ventilation predict the outcome of adult patients with severe acute respiratory failure[J].The Scientific World Journal，2013（2013）：413216. 　　[4] Oliveira-Neto A，Parpinelli M A，Cecatti J G，et al.Sequen