APAHEⅡ评分在严重多发创伤急诊早期的应用研究.docVIP

APACHE II评分在严重多发创伤急诊早期的应用研宄 广东省佛山市中医院急诊科广东佛山528000 】目的：研究急诊科早期APACHE II评分对严重多发创伤患者的临床疗 效及预后的判断。方法：分析我院2014年3月一2015年9月收治的154例ISS 评分ge;16的多发性创伤患者相关资料，记录APACHE II评分各项资料、预后 等情况，对比存活组与死亡组患者APACHE II评分，并分析评分系统中的临床因 素与预后的关系。结果：154例病人中死亡22例（14.3%）,存活132例（85.7%）, APACHE II评分与创伤患者死亡率高度相关（P0.01）;死亡组与存活组的APACHE II得分差异有统计学意义（P0.01）；年龄评分、平均动脉压、pH值、血肌酐 水平、血细胞比积、白细胞计数、Glasgow评分、慢性健康评分两组间比较差异 有统计学意义（P0.05）。结论：早期APACHE II评分对评估严重多发创伤患者 的临床疗效及预后有预测价值，其中年龄评分、平均动脉压、pH值、血肌酐水 平、血细胞比积、白细胞计数、Glasgow评分、慢性健康评分为死亡的预测因素。 APACHE II评分在急诊严重多发性创伤患者应用具有一定临床意义。 关键词】APACHE II评分；严重多发创伤；临床研究；预后 Application of APACHE II score in severe multiple trauma emergency early stage Liang weidong Li yingying Zhang yingjian Li kuangyi Emergency Department, Traditional Chinese Medicine Hospital of Foshan City, 528000 Guangdong, CHINA Abstract】 Objective To study the clinical significance of APACHE II score in patients with severe multiple trauma.Methods One hundred and fifty-four patients with severe multiple trauma and ISS scorege;16 from March 2014 to Sept 2015 were selected as research object .The information of APACHE 11 score and the prognosis were respectively recorded.The patients were divided into two groups according to prognosis, and the differences of the two groups were analyzed.Results Among 154 patients，22 patients( 14.3%)died, and 132 patients survived(85.7%).The mortality rate increased with APACHE II score increasing (P0.01) .The APACHE II score in death group is higher than that of survival group, with statistically significant differences (Plt;O.Ol)； The difference was statistically significant between the two groups(Plt; 0.05)in age，mean arterial pressure，pH，serum creatinine, hematocrit, white blood cell count， Glasgow score, and chronic health score.Conclusion Early APACHE II score was predictive of clinical efficacy and prognosis in patients with severe multiple trauma, including age，mean arterial pressure，pH，serum creatinine, hematocrit, white blood cell count, Glasgow score, and chronic he