CAJ | 학술논문

目的：探讨APACHE Ⅱ评分、血乳酸清除率对危重症患者的预后评估比较。方法：临床上选取146例危重患者，按照APACHE Ⅱ评分高低分为A、B、C组，评估各组血乳酸清除率、APACHEⅡ评分；将患者分为死亡组和存活组，评估血乳酸清除率、APACHE Ⅱ评分。结果：146例危重患者中死亡23例（15．8％），存活123例（84．2％）。 B、C两组血乳酸水平明显高于A组，血乳酸清除率明显低于A组，P＜0．01，具有统计学意义；C组血乳酸水平明显高于B组，血乳酸清除率明显低于B组P＜0．05，具有统计学意义；A、B、C组24h血乳酸水平都比即时血乳酸水平低，P＜0．05，具有统计学意义；A-PACHE Ⅱ分值的增加患者血乳酸清除率在减小，P＜0．05，具有统计学意义；死亡组的APACHE Ⅱ评分明显高于存活组，P＜0．05，具有统计学意义；两组24h血乳酸水平都比即时血乳酸水平低，P＜0．05，具有统计学意义。结论：通过检测血乳酸水平和APACHE Ⅱ评分的方法能够很好地评估危重患者的患病情况，利于医生对患者的治疗，从而降低患者的死亡率。
목적：탐토APACHE Ⅱ평분、혈유산청제솔대위중증환자적예후평고비교。방법：림상상선취146례위중환자，안조APACHE Ⅱ평분고저분위A、B、C조，평고각조혈유산청제솔、APACHEⅡ평분；장환자분위사망조화존활조，평고혈유산청제솔、APACHE Ⅱ평분。결과：146례위중환자중사망23례（15．8％），존활123례（84．2％）。 B、C량조혈유산수평명현고우A조，혈유산청제솔명현저우A조，P＜0．01，구유통계학의의；C조혈유산수평명현고우B조，혈유산청제솔명현저우B조P＜0．05，구유통계학의의；A、B、C조24h혈유산수평도비즉시혈유산수평저，P＜0．05，구유통계학의의；A-PACHE Ⅱ분치적증가환자혈유산청제솔재감소，P＜0．05，구유통계학의의；사망조적APACHE Ⅱ평분명현고우존활조，P＜0．05，구유통계학의의；량조24h혈유산수평도비즉시혈유산수평저，P＜0．05，구유통계학의의。결론：통과검측혈유산수평화APACHE Ⅱ평분적방법능구흔호지평고위중환자적환병정황，리우의생대환자적치료，종이강저환자적사망솔。
Objective:To discuss the action of APACHE Ⅱscore , blood lactate clearance rate on com-parison prognosis of critically ill patients .Method:146 cases of critically ill patients were selected and di-vided into group A, B, C according to the level of APACHE Ⅱscore , each group were assessed blood lac-tate clearance rate , APACHE Ⅱscore ;patients were divided into groups of death and survival group , and then assess blood lactate clearance rate , APACHE Ⅱscore.Result:23 cases of 146 cases of death in criti-cally ill patients (15.8%), 123 cases survived (84.2%).Blood lactic acid level two groups B , C was higher than that in group A , the blood lactate clearance rate was significantly lower than that in group A , P<0.01, has statistical significance;group C blood lactate levels were significantly higher than that of group B , the blood lactic acid clearance rate was significantly lower in group B (P<0.05), with statistical significance;group A, B, C blood lactate levels with 24h the instant blood lactic acid level was low , P<0.05, with statis-tical significance;increase the APACHE II score of patients with blood lactate clearance rate decreases , P<0.05, with statistical significance;the death group APACHE II score was significantly higher than the surviv-al group, P<0.05, has statistical significance;24h blood lactic acid levels in the two groups than the instant blood lactic acid level is low , P<0.05, the statistical significance .Conclusion:By detecting the blood lactic acid level and APACHE II score well able to assess the prevalence of critically ill patients to the doctor , treatment of patients , so as to reduce the mortality of patients .