CAJ | 학술논문

目的：探讨BAP-65及CURB-65评分在预测慢性阻塞性肺疾病急性加重期（AECOPD）患者行机械通气的应用。方法以呼吸内科、内科ICU病区的171例AECOPD患者为研究对象，比较机械通气患者（MV组）和非机械通气患者（非MV组）的BAP-65和CURB-65评分；构建ROC曲线分析BAP-65和CURB-65评分对AECOPD患者行机械通气的预测价值。结果 MV组患者的BAP-65评分的风险等级和CURB-65评分的分值显著高于非MV组（P＜0.01）；BAP-65和CURB-65评分的ROC曲线下面积（AUROC）均大于0.7，能较好预测 AECOPD 患者行机械通气，但 BAP-65评分（AUROC ＝0.843）优于 CURB-65评分（AUROC ＝0.728）。结论 BAP-65和CURB-65评分均具有较好的分辨度，BAP-65评分准确性高于CURB-65评分，更适用于AECOPD患者行机械通气的预测。
목적：탐토BAP-65급CURB-65평분재예측만성조새성폐질병급성가중기（AECOPD）환자행궤계통기적응용。방법이호흡내과、내과ICU병구적171례AECOPD환자위연구대상，비교궤계통기환자（MV조）화비궤계통기환자（비MV조）적BAP-65화CURB-65평분；구건ROC곡선분석BAP-65화CURB-65평분대AECOPD환자행궤계통기적예측개치。결과 MV조환자적BAP-65평분적풍험등급화CURB-65평분적분치현저고우비MV조（P＜0.01）；BAP-65화CURB-65평분적ROC곡선하면적（AUROC）균대우0.7，능교호예측 AECOPD 환자행궤계통기，단 BAP-65평분（AUROC ＝0.843）우우 CURB-65평분（AUROC ＝0.728）。결론 BAP-65화CURB-65평분균구유교호적분변도，BAP-65평분준학성고우CURB-65평분，경괄용우AECOPD환자행궤계통기적예측。
Objective To study the scores of BAP-65 and CURB-65 in predicting need for mechanical venti-lation (MV)in patients with AECOPD.Methods A total of 1 71 patients with AECOPD were selected,and the scores of BAP-65 and CURB-65 were compared between MV patients and non-MV patients.The prediction value of the scores on mechanical ventilation was evaluated through ROC curve.Results The scores of BAP-65 and CURB-65 were higher in the MV group than in the non-MV group (P<0.01 ).The area under ROC curve of BAP-65 and CURB-65 was both higher than 0.7,but BAP-65 was superior to CURB-65 in the prediction of MV need.Conclu-sion The scores of BAP-65 and CURB-65 show strong capability of predicting MV need,and BAP-65 is more accu-rate and suitable than CURB-65 is.