中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
28期
6-8
,共3页
田小艳%殷玉红%展倩丽%付晓丽%王丽显%杨颖博
田小豔%慇玉紅%展倩麗%付曉麗%王麗顯%楊穎博
전소염%은옥홍%전천려%부효려%왕려현%양영박
诊断%预后%临床肺部感染评分%卒中相关性肺炎
診斷%預後%臨床肺部感染評分%卒中相關性肺炎
진단%예후%림상폐부감염평분%졸중상관성폐염
Diagnosis%Prognosis%Clinical lung infection score%Stroke-associated pneumonia
目的 探讨临床肺部感染评分(CPIS)对卒中相关性肺炎(SAP)诊断及预后评价的价值.方法 对150例卒中患者均采用CPIS进行诊断及预后分析,以最终发生SAP为金标准,计算CPIS的灵敏度、特异度、诊断符合率、阳性预测值、阴性预测值,并进行预后评价.结果 行CPIS有SAP发生患者39例,未发生SAP患者111例,而最终SAP的发生率为22.0%(33/150).CPIS诊断SAP的灵敏度为84.8%( 28/33),特异度为90.6%( 106/117),阳性预测值为71.8%(28/39),阴性预测值为95.5%( 106/111),诊断符合率为89.3%(134/150).将最终发生SAP患者根据其预后情况分为预后良好(28例)和预后不良(5例),SAP后7d预后良好患者CPIS明显低于预后不良患者[(4.21±2.23)分比(6.05±2.32)分,P< 0.05].结论 CPIS对SAP不仅诊断率比较高,而且能较好地判定预后,值得临床推广应用.
目的 探討臨床肺部感染評分(CPIS)對卒中相關性肺炎(SAP)診斷及預後評價的價值.方法 對150例卒中患者均採用CPIS進行診斷及預後分析,以最終髮生SAP為金標準,計算CPIS的靈敏度、特異度、診斷符閤率、暘性預測值、陰性預測值,併進行預後評價.結果 行CPIS有SAP髮生患者39例,未髮生SAP患者111例,而最終SAP的髮生率為22.0%(33/150).CPIS診斷SAP的靈敏度為84.8%( 28/33),特異度為90.6%( 106/117),暘性預測值為71.8%(28/39),陰性預測值為95.5%( 106/111),診斷符閤率為89.3%(134/150).將最終髮生SAP患者根據其預後情況分為預後良好(28例)和預後不良(5例),SAP後7d預後良好患者CPIS明顯低于預後不良患者[(4.21±2.23)分比(6.05±2.32)分,P< 0.05].結論 CPIS對SAP不僅診斷率比較高,而且能較好地判定預後,值得臨床推廣應用.
목적 탐토림상폐부감염평분(CPIS)대졸중상관성폐염(SAP)진단급예후평개적개치.방법 대150례졸중환자균채용CPIS진행진단급예후분석,이최종발생SAP위금표준,계산CPIS적령민도、특이도、진단부합솔、양성예측치、음성예측치,병진행예후평개.결과 행CPIS유SAP발생환자39례,미발생SAP환자111례,이최종SAP적발생솔위22.0%(33/150).CPIS진단SAP적령민도위84.8%( 28/33),특이도위90.6%( 106/117),양성예측치위71.8%(28/39),음성예측치위95.5%( 106/111),진단부합솔위89.3%(134/150).장최종발생SAP환자근거기예후정황분위예후량호(28례)화예후불량(5례),SAP후7d예후량호환자CPIS명현저우예후불량환자[(4.21±2.23)분비(6.05±2.32)분,P< 0.05].결론 CPIS대SAP불부진단솔비교고,이차능교호지판정예후,치득림상추엄응용.
Objective To explore the diagnosis and prognosis value of clinical pneumonic infection score (CPIS) in patients with stroke-associated pneumonia (SAP).Methods One hundred and fifty stroke patients were evaluated and analyzed by CPIS.SAP was regarded as gold standard,and sensitivity,specificity,diagnose accordance rate,positive predictive value and negative predictive value were calculated.Results Thirty-nine patients had SAP and 111 patients did not have SAP by CPIS,and the incidence of SAP was 22.0% (33/150).CPIS diagnostic sensitivity was 84.8% (28/33),specificity was 90.6% ( 106/117 ),positive predictive value was 71.8% (28/39),negative predictive value was 95.5% (106/111),and diagnose accordance rate was 89.3%(134/150).The patients of SAP were divided into good prognosis (28 cases) and bad prognosis (5 cases),and the CPIS was significantly lower in patients of good prognosis 7 days after SAP than that in patients of bad prognosis [(4.21 ± 2.23) scores vs. (6.05 ±2.32) scores,P <0.05].Conclusions Not only CPIS has higher diagnosis rate in SAP incidence,but also has good judgment to prognosis.It is worthy of clinical application.