中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
1期
25-26
,共2页
ASS评分%CPIS评分%重型颅脑损伤%继发感染%临床价值
ASS評分%CPIS評分%重型顱腦損傷%繼髮感染%臨床價值
ASS평분%CPIS평분%중형로뇌손상%계발감염%림상개치
ASS score%CPIS score%Severe brain injury%Secondary infection%Clinical value
目的：探讨全身炎症反应综合征修正评分（ASS评分）与肺部感染评分（CPIS评分）评估重型颅脑损伤继发感染的临床价值，以期提高临床治疗水平。方法选取2011‐01—2013‐0448例重型颅脑损伤继发感染患者为研究对象，以住院存活情况、ICU时间、住院时间和感染控制情况作为预后评估标准，结合患者特征曲线（ROC）比较ASS评分与CPIS评分系统的预测能力。结果 CPIS评分最佳诊断阈值为7，敏感度为0.789，特异性为0.923，阳性预测值为0.715，阴性预测值为0.864，Youden指数为0.724，特征曲线下面积为0.836；ASS评分最佳诊断阈值为11，敏感度为0.726，特异性为0.967，阳性预测值为0.813，阴性预测值为0.878，Youden指数为0.668，特征曲线下面积为0.837。两个评分比较差异性无统计学意义（P＞0.05）。结论 ASS评分与CPIS评分可对重型颅脑损伤继发感染进行量化评估。
目的：探討全身炎癥反應綜閤徵脩正評分（ASS評分）與肺部感染評分（CPIS評分）評估重型顱腦損傷繼髮感染的臨床價值，以期提高臨床治療水平。方法選取2011‐01—2013‐0448例重型顱腦損傷繼髮感染患者為研究對象，以住院存活情況、ICU時間、住院時間和感染控製情況作為預後評估標準，結閤患者特徵麯線（ROC）比較ASS評分與CPIS評分繫統的預測能力。結果 CPIS評分最佳診斷閾值為7，敏感度為0.789，特異性為0.923，暘性預測值為0.715，陰性預測值為0.864，Youden指數為0.724，特徵麯線下麵積為0.836；ASS評分最佳診斷閾值為11，敏感度為0.726，特異性為0.967，暘性預測值為0.813，陰性預測值為0.878，Youden指數為0.668，特徵麯線下麵積為0.837。兩箇評分比較差異性無統計學意義（P＞0.05）。結論 ASS評分與CPIS評分可對重型顱腦損傷繼髮感染進行量化評估。
목적：탐토전신염증반응종합정수정평분（ASS평분）여폐부감염평분（CPIS평분）평고중형로뇌손상계발감염적림상개치，이기제고림상치료수평。방법선취2011‐01—2013‐0448례중형로뇌손상계발감염환자위연구대상，이주원존활정황、ICU시간、주원시간화감염공제정황작위예후평고표준，결합환자특정곡선（ROC）비교ASS평분여CPIS평분계통적예측능력。결과 CPIS평분최가진단역치위7，민감도위0.789，특이성위0.923，양성예측치위0.715，음성예측치위0.864，Youden지수위0.724，특정곡선하면적위0.836；ASS평분최가진단역치위11，민감도위0.726，특이성위0.967，양성예측치위0.813，음성예측치위0.878，Youden지수위0.668，특정곡선하면적위0.837。량개평분비교차이성무통계학의의（P＞0.05）。결론 ASS평분여CPIS평분가대중형로뇌손상계발감염진행양화평고。
Objective To investigate the clinical value of systemic inflammatory response syndrome score (ASS score) and pulmonary infection score (CPIS score) evaluating the secondary infection of patients with severe traumatic brain injury. Meth‐ods Totally 48 severe traumatic brain injury patients with secondary infection in our hospital from January 2011 to 2013 April were considered as the study objects. The hospital survival ,ICU time ,hospitalization time and infection control situation of pa‐tients were considered as the assessment criteria of prognosis combining patients’ characteristic curve (ROC) to compare the predictive ability of ASS and CPIS scoring system. Results The scoring system characteristics of CPIS were 7 best diagnostic thresholds ,0.789 sensitivity ,0.923 specificity ,0.715 positive predictive values ,and 0.864 negative predictive values ,0.724 Youden index ,0.836 characteristic areas under the curve. The scoring system characteristics of ASS were 11 best diagnostic thresholds ,0.726 sensitivity ,0.967 specificity ,0.813 positive predictive values ,and 0.878 negative predictive values ,0.668 Youden index ,0.837 characteristic areas under the curve. There was no statistical difference between two scoring system.Conclusion ASS and CPIS score can quantitatively evaluate the secondary infection of patients with severe traumatic brain inju‐ry.
