CAJ | 학술논문

目的：探讨肺损伤预测评分( LIPS)对严重创伤患者短期预后评估的价值。方法对58例因各种因素导致严重创伤患者的临床资料进行回顾性分析,评估住院14天生存情况,比较存活组和死亡组肺损伤预测评分、急性生理与慢性健康估测评分(APACHE Ⅱ评分)、严重创伤程度评分(ISS),并进行相关性分析。评价LIPS、APACHE Ⅱ对预测严重创伤患者死亡的风险。结果58例严重创伤患者死亡13例,存活45例。死亡组LIPS明显高于生存组(P<0．05),LIPS高水平组(>12)病死率显著高于LIPS低水平组(<12)(P<0．05)。比较Pearson相关性分析显示,LIPS与APACHEⅡ、ISS具有良好的相关性(P<0．05)。 LIPS、A-PACHE Ⅱ均对预测严重创伤患者预后有统计学意义,AUC>0.7。结论 LIPS与严重创伤患者预后相关,可以作为预测患者死亡风险的指标之一。
목적：탐토폐손상예측평분( LIPS)대엄중창상환자단기예후평고적개치。방법대58례인각충인소도치엄중창상환자적림상자료진행회고성분석,평고주원14천생존정황,비교존활조화사망조폐손상예측평분、급성생리여만성건강고측평분(APACHE Ⅱ평분)、엄중창상정도평분(ISS),병진행상관성분석。평개LIPS、APACHE Ⅱ대예측엄중창상환자사망적풍험。결과58례엄중창상환자사망13례,존활45례。사망조LIPS명현고우생존조(P<0．05),LIPS고수평조(>12)병사솔현저고우LIPS저수평조(<12)(P<0．05)。비교Pearson상관성분석현시,LIPS여APACHEⅡ、ISS구유량호적상관성(P<0．05)。 LIPS、A-PACHE Ⅱ균대예측엄중창상환자예후유통계학의의,AUC>0.7。결론 LIPS여엄중창상환자예후상관,가이작위예측환자사망풍험적지표지일。
Objective To explore the short-term prognostic value of lung injury prediction score ( LIPS) in severe trauma patients. Methods The clinical data of 58 patients with various factors leading to severe trauma were retrospectively analyzed. Their survival situation of 16 days in hospital was evaluated. APACHE Ⅱ score and injury severity score ( ISS) were recorded. Results There were 13 cases of death reported in 58 severe trauma patients and 45 cases survived. LIPS was obviously higher in the death group than in the survival group (P<0. 05). The mortali-ty was higher in the high LIPS group (LIPS>12) than in the low LIPS group (LIPS<12) (P<0. 05). Pearson cor-relative analysis showed LIPS, APACHEⅡand ISS had a good correlation (P<0. 05). LIPS and APACHEⅡwere statistically significant in predicting prognosis of patients with severe trauma (AUC>0. 7). Conclusion The prog-nosis of patients with severe trauma is related with LIPS, which can be used as the indicator in predicting the risk of death.