中国急救医学
中國急救醫學
중국급구의학
CHINESE JOURNAL OF CRITICAL CARE MEDICINE
2010年
3期
223-226
,共4页
孙宏%莫为春%刘国平%沈君妹%秦海军
孫宏%莫為春%劉國平%瀋君妹%秦海軍
손굉%막위춘%류국평%침군매%진해군
急性生理和慢性健康状况评分Ⅱ%脑出血%应激性溃疡%消化道出血
急性生理和慢性健康狀況評分Ⅱ%腦齣血%應激性潰瘍%消化道齣血
급성생리화만성건강상황평분Ⅱ%뇌출혈%응격성궤양%소화도출혈
APACHE-Ⅱ%Intracerebral hemorrhage%Stress ulcer%Gastrointestinal hemorrhage
目的 探讨急性生理和慢性健康状况评分Ⅱ(APACHEⅡ)与急性脑出血合并应激性溃疡出血的相关性.方法 对106例确诊为急性脑出血的患者资料采用回顾性病例对照研究,结果 变量为应激性溃疡出血.将APACHEⅡ评分作为参数行单因素分析后做多因素Logistic回归分析.结果 单因素分析显示,APACHEⅡ评分与急性脑出血患者合并应激性溃疡出血相关.Logistic回归分析表明,高APACHEⅡ评分(P值<0.001,OR＞1,95% CI=1.097～1.382)是独立的风险预测指标.结论 APACHEⅡ评分与急性脑出血患者合并应激性溃疡出血相关,且APACHEⅡ评分高是急性脑出血患者合并应激性溃疡出血风险的重要因素.
目的 探討急性生理和慢性健康狀況評分Ⅱ(APACHEⅡ)與急性腦齣血閤併應激性潰瘍齣血的相關性.方法 對106例確診為急性腦齣血的患者資料採用迴顧性病例對照研究,結果 變量為應激性潰瘍齣血.將APACHEⅡ評分作為參數行單因素分析後做多因素Logistic迴歸分析.結果 單因素分析顯示,APACHEⅡ評分與急性腦齣血患者閤併應激性潰瘍齣血相關.Logistic迴歸分析錶明,高APACHEⅡ評分(P值<0.001,OR＞1,95% CI=1.097～1.382)是獨立的風險預測指標.結論 APACHEⅡ評分與急性腦齣血患者閤併應激性潰瘍齣血相關,且APACHEⅡ評分高是急性腦齣血患者閤併應激性潰瘍齣血風險的重要因素.
목적 탐토급성생리화만성건강상황평분Ⅱ(APACHEⅡ)여급성뇌출혈합병응격성궤양출혈적상관성.방법 대106례학진위급성뇌출혈적환자자료채용회고성병례대조연구,결과 변량위응격성궤양출혈.장APACHEⅡ평분작위삼수행단인소분석후주다인소Logistic회귀분석.결과 단인소분석현시,APACHEⅡ평분여급성뇌출혈환자합병응격성궤양출혈상관.Logistic회귀분석표명,고APACHEⅡ평분(P치<0.001,OR＞1,95% CI=1.097～1.382)시독립적풍험예측지표.결론 APACHEⅡ평분여급성뇌출혈환자합병응격성궤양출혈상관,차APACHEⅡ평분고시급성뇌출혈환자합병응격성궤양출혈풍험적중요인소.
Objective To study the relationship between APACHEⅡ score and gastrointestinal stress ulcer bleeding in acute intracerebral hemorrhage(ICH). Methods 106 patients with ICH were included in a retrospective case-control study.The occurrence of SUB was the variable of outcome. APACHEⅡ score was evaluated by univariate followed by multivariate logistic regression analysis. Results By univariateanalysB: APACHEⅡ significantly correlated with gastrointestinal SUB. By multivariate analysis, the high APACHEⅡ(P<0.001, OR＞1,95% CI=1.097～1.382)was the independent predictors. Conclusion High APACHEⅡ is the important predictors for gastrointestinal SUB in acute ICH. It aslo has the relationship with gastrointestinal SUB in acute ICH.
