四川大学学报（医学版）
四川大學學報（醫學版）
사천대학학보（의학판）
JOURNAL OF SICHUAN UNIVERSITY(MEDICAL SCIENCE EDITION)
2009年
6期
1086-1090
,共5页
社区获得性肺炎%SMART-COP%CURB-65%IDSA/ATS重症CAP次要标准
社區穫得性肺炎%SMART-COP%CURB-65%IDSA/ATS重癥CAP次要標準
사구획득성폐염%SMART-COP%CURB-65%IDSA/ATS중증CAP차요표준
Community-acquired pneumonia (CAP)%SMART-COP%CURB-65%Minor criteria%for severe CAP proposed by IDSA/ATS
目的 探讨3种重症社区获得性肺炎(CAP)危重度分层评分量表SMART-COP、CURB-65和IDSA/ATS对患者通气方式的预测意义. 方法 采集98例重症CAP患者入院时的相关数据,分别计算SMART-COP、CURB-65和IDSA/ATS次要标准的计分,根据患者24 h内实际采用的通气方式来评估此3种评价量表对通气方式的预测价值. 结果 3种评分量表的分值高低对预测患者采取非有创通气或有创通气均有统计学意义(P<0.05).3种评分量表的ROC曲线下面积比较,SMART-COP较CURB-65和IDSA/ATS次要标准有更强的预测能力(P<0.05),而CURB-65与IDSA/ATS次要标准之间无明显差异(P>0.05). 结论 3种评分量表对重症CAP患者通气方式均有一定预测价值,相比而言,SMART-COP比CURB-65和IDSA/AT次要标准更具有优势.
目的 探討3種重癥社區穫得性肺炎(CAP)危重度分層評分量錶SMART-COP、CURB-65和IDSA/ATS對患者通氣方式的預測意義. 方法 採集98例重癥CAP患者入院時的相關數據,分彆計算SMART-COP、CURB-65和IDSA/ATS次要標準的計分,根據患者24 h內實際採用的通氣方式來評估此3種評價量錶對通氣方式的預測價值. 結果 3種評分量錶的分值高低對預測患者採取非有創通氣或有創通氣均有統計學意義(P<0.05).3種評分量錶的ROC麯線下麵積比較,SMART-COP較CURB-65和IDSA/ATS次要標準有更彊的預測能力(P<0.05),而CURB-65與IDSA/ATS次要標準之間無明顯差異(P>0.05). 結論 3種評分量錶對重癥CAP患者通氣方式均有一定預測價值,相比而言,SMART-COP比CURB-65和IDSA/AT次要標準更具有優勢.
목적 탐토3충중증사구획득성폐염(CAP)위중도분층평분량표SMART-COP、CURB-65화IDSA/ATS대환자통기방식적예측의의. 방법 채집98례중증CAP환자입원시적상관수거,분별계산SMART-COP、CURB-65화IDSA/ATS차요표준적계분,근거환자24 h내실제채용적통기방식래평고차3충평개량표대통기방식적예측개치. 결과 3충평분량표적분치고저대예측환자채취비유창통기혹유창통기균유통계학의의(P<0.05).3충평분량표적ROC곡선하면적비교,SMART-COP교CURB-65화IDSA/ATS차요표준유경강적예측능력(P<0.05),이CURB-65여IDSA/ATS차요표준지간무명현차이(P>0.05). 결론 3충평분량표대중증CAP환자통기방식균유일정예측개치,상비이언,SMART-COP비CURB-65화IDSA/AT차요표준경구유우세.
Objective To evaluate the predictive value of three scales, including SMAT-COP, CURB-65 and the minor criteria for severe community-acquired pneumonia (CAP) proposed by IDSA/ATS, on the ventilatory pattern choice in patients with severe community-acquired pneumonia. Methods The scores of the three scales were calculated in 98 patients with severe CAP with the admission data, and compared between the non-invasive ventilation group and invasive ventilation group. Results There were significant differences in SMAT-COP, CURB-65 and IDSA/ATS minor criteria between non-invasive ventilation group and invasive ventilation group (P< 0. 05). The area under the ROC curve indicated that SMAT-COP had better predictive values than CURB-65 and IDSA/ATS minor criteria (P<0. 05). But there was no significant difference between CURB-65 and IDSA/ATS minor criteria (P>0. 05). Conclusion The three scales all have predictive values on ventilatory pattern choice in patients with severe CAP.SMART-COP has better predictive values than the other two.
