CAJ | 학술논문

目的：研究急性生理学与慢性健康状况评分Ⅱ（APACHEⅡ）对危重病患儿护理的干预指导意义。方法2009年7月至2012年9月四川省人民医院收治的危重病患儿80例纳入观察组，根据APACHEⅡ评分结果制定针对性护理措施。2005年7月至2008年9月收治的危重病患儿80例纳入对照组，实施常规危重病护理。比较两组患儿疗效，以及具有不同APACHEⅡ评分结果患儿的并发症发生率以及病死率。结果观察组治疗总有效率明显大于对照组（P＜0．05）。不同APACHEⅡ评分患儿病死率及并发症发生率比较差异有统计学意义（P＜0．05）。结论 APACHEⅡ评分有助于正确评估危重病患儿的预后，对小儿危重病的治疗和预后评估有重要的指导作用。
목적：연구급성생이학여만성건강상황평분Ⅱ（APACHEⅡ）대위중병환인호리적간예지도의의。방법2009년7월지2012년9월사천성인민의원수치적위중병환인80례납입관찰조，근거APACHEⅡ평분결과제정침대성호리조시。2005년7월지2008년9월수치적위중병환인80례납입대조조，실시상규위중병호리。비교량조환인료효，이급구유불동APACHEⅡ평분결과환인적병발증발생솔이급병사솔。결과관찰조치료총유효솔명현대우대조조（P＜0．05）。불동APACHEⅡ평분환인병사솔급병발증발생솔비교차이유통계학의의（P＜0．05）。결론 APACHEⅡ평분유조우정학평고위중병환인적예후，대소인위중병적치료화예후평고유중요적지도작용。
Objective To study the intervention significance of acute physiology and chronic health evaluationⅡ(APACHEⅡ) in the nursing of pediatric patients with critical illness .Methods Nursing intervention ,based on A-PACHEⅡ ,was applied in 80 children with critical illness during Jul .2009 and Sep .2012 ,enrolled as observation group .Routine nursing intervention was applied in 80 children with critical illness during Jul .2005 and Sep .2008 ,en-rolled as control group .Curative effect was compared between the two groups ,and incidence of complications and case fatality rate were compared between patients with different APACHE Ⅱ scores .Results The total effective rate of observation group was obviously higher than control group (P< 0 .05) .Incidence of complications and case fatality rate in children with different APACHEⅡ scores were with statistical difference (P<0 .05) .Conclusion APACHEⅡ might be helpful for the correct evaluation of prognosis in children with critical illness ,and could guide the treat-ment and prognostic evaluation of pediatric critical illness .