中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
3期
50-52
,共3页
泌外急诊手术%改良APACHEⅢ评分%术后并发症%急性生理和慢性健康状态评价
泌外急診手術%改良APACHEⅢ評分%術後併髮癥%急性生理和慢性健康狀態評價
비외급진수술%개량APACHEⅢ평분%술후병발증%급성생리화만성건강상태평개
Secretion outside the emergency operation%Modified APACHE Ⅲ score%Post-operative complications%Acute physiology and chronic health evaluation
目的 评估改良APACHEⅢ预测泌尿外科急诊手术并发症的应用价值.方法 将我院泌尿外科急诊住院手术患者39例分为并发症组(n=7),无并发症组(n=32),分别用APACHEⅢ、改良APACHEⅡ、改良APACHEⅢ进行评分,评分与泌尿外科急诊手术患者术后并发症的相关性进行比较,并分别用24 h内的APACHEⅡ、APACHEⅢ、改良APACHEⅢ受试者工作特征曲线(ROC),计算ROC曲线下面积,衡量各种评分系统对患者预后预测判别的能力.并通过ROC曲线加以证实.结果 三者评分差异有统计学意义(P＜0.05),随着分值的升高,并发症率亦呈现上升趋势.各评分法ROC曲线下面积均大于0.7,从大到小依次为:改良APACHEⅢ(0.878)改良APACHEⅡ(0.805)与APACHEⅢ(0.809).结论 改良APACHEⅢ评分对泌尿外科急诊手术患者的预后评估是可行的,较其他两种评分方法更能反应并发症的发生几率.
目的 評估改良APACHEⅢ預測泌尿外科急診手術併髮癥的應用價值.方法 將我院泌尿外科急診住院手術患者39例分為併髮癥組(n=7),無併髮癥組(n=32),分彆用APACHEⅢ、改良APACHEⅡ、改良APACHEⅢ進行評分,評分與泌尿外科急診手術患者術後併髮癥的相關性進行比較,併分彆用24 h內的APACHEⅡ、APACHEⅢ、改良APACHEⅢ受試者工作特徵麯線(ROC),計算ROC麯線下麵積,衡量各種評分繫統對患者預後預測判彆的能力.併通過ROC麯線加以證實.結果 三者評分差異有統計學意義(P＜0.05),隨著分值的升高,併髮癥率亦呈現上升趨勢.各評分法ROC麯線下麵積均大于0.7,從大到小依次為:改良APACHEⅢ(0.878)改良APACHEⅡ(0.805)與APACHEⅢ(0.809).結論 改良APACHEⅢ評分對泌尿外科急診手術患者的預後評估是可行的,較其他兩種評分方法更能反應併髮癥的髮生幾率.
목적 평고개량APACHEⅢ예측비뇨외과급진수술병발증적응용개치.방법 장아원비뇨외과급진주원수술환자39례분위병발증조(n=7),무병발증조(n=32),분별용APACHEⅢ、개량APACHEⅡ、개량APACHEⅢ진행평분,평분여비뇨외과급진수술환자술후병발증적상관성진행비교,병분별용24 h내적APACHEⅡ、APACHEⅢ、개량APACHEⅢ수시자공작특정곡선(ROC),계산ROC곡선하면적,형량각충평분계통대환자예후예측판별적능력.병통과ROC곡선가이증실.결과 삼자평분차이유통계학의의(P＜0.05),수착분치적승고,병발증솔역정현상승추세.각평분법ROC곡선하면적균대우0.7,종대도소의차위:개량APACHEⅢ(0.878)개량APACHEⅡ(0.805)여APACHEⅢ(0.809).결론 개량APACHEⅢ평분대비뇨외과급진수술환자적예후평고시가행적,교기타량충평분방법경능반응병발증적발생궤솔.
Objective To evaluate the modified APACHE Ⅲ forecast emergency surgery urological complications value. Methods will be hospitalized in our hospital emergency urological surgery is divided into 39 cases of patients with complications group ( n= 7 ), no complication group ( n=32 ), respectively, with APACHE Ⅲ ,modified APACHE Ⅱ , modified to APACHE Ⅲ score, score and urological emergency postoperative complications of patients to compare the relevance and use within 24 hours, respectively, the APACHE Ⅱ , APACHE Ⅲ modified APACHE Ⅲ receiver operating characteristic curve ( ROC ) ,calculated area under the ROC curve to measure a variety of scoring system for prognosis of patients with the ability to judge. And confirmed through the ROC curve. Results The results of the three score differences were significant ( P ＜ 0.05 ), with the scores of the higher complication rate has also shown an upward trend. The score area under the ROC curve were greater than 0.7, smallest as follows:improvement of APACHE Ⅲ (0. 878 ) improved APACHE Ⅲ (0.805 ) and APACHE Ⅲ (0.809 ). Conclusion The modified APACHE Ⅲ score of urological emergency operation to assess the prognosis of patients is feasible. Score than the other two methods better reflect the risk of complications.
