CAJ | 학술논문

目的应用急性生理学与慢性健康状况Ⅱ(APACHE Ⅱ)评分评价亚低温脑复苏患者的病情危重程度并判断其预后,以评估其应用的有效性.方法连续收集入急诊重症监护室(ECIU)或重症监护室(ICU)的亚低温脑复苏患者共34例,分别计算各自APACHEⅡ评分,并进行验证,建立回归模型.结果纳入的34例患者APACHE Ⅱ评分20～47 (33.86±5.12)分.9例72 h内存活者为(27.83±4.89)分,25例72 h内死亡者为(35.56±7.12)分,两者比较差异有统计学意义(P＜0.01).非条件Logistic回归分析显示,APACHE Ⅱ评分是亚低温脑复苏患者死亡的危险因素(P＜0.01).结论 APACHE Ⅱ评分可应用于亚低温脑复苏患者的病情危重程度及预后的评估,指导临床决策.
목적 응용급성생이학여만성건강상황Ⅱ(APACHE Ⅱ)평분평개아저온뇌복소환자적병정위중정도병판단기예후,이평고기응용적유효성.방법 련속수집입급진중증감호실(ECIU)혹중증감호실(ICU)적아저온뇌복소환자공34례,분별계산각자APACHEⅡ평분,병진행험증,건립회귀모형.결과 납입적34례환자APACHE Ⅱ평분20～47 (33.86±5.12)분.9례72 h내존활자위(27.83±4.89)분,25례72 h내사망자위(35.56±7.12)분,량자비교차이유통계학의의(P＜0.01).비조건Logistic회귀분석현시,APACHE Ⅱ평분시아저온뇌복소환자사망적위험인소(P＜0.01).결론 APACHE Ⅱ평분가응용우아저온뇌복소환자적병정위중정도급예후적평고,지도림상결책.
Objective To evaluate the degree of hypothermia cerebral resuscitation patients by acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score and judge the prognosis,so as to prove the effectiveness of its application.Methods Data of 34 cases of patients with mild hypothermia cerebral resuscitation in ECIU or ICU were continuously observed,calculated the scores of APACHE Ⅱ and verify for establishing the regression model.Results The APACHE Ⅱ score was 20-47 (33.86 ± 5.12) scores.The APACHE Ⅱ score in 9 patients who were survived within 72 h was (27.83 ± 4.89) scores,and in 25 patients who were dead within 72 h was (35.56 ± 7.12) scores,there was significant difference (P ＜ 0.01).Logistic regression analysis showed that APACHE Ⅱ score was the risk factor (P ＜ 0.01).Conclusion APACHE Ⅱ score can be applied to evaluate the degree of mild hypothermia cerebral resuscitation and prognosis,it can guide the clinical decision making.