医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
14期
55-56
,共2页
危重症%血小板%急性生理学与慢性健康状况评分%序贯器官衰竭估计评分%预后
危重癥%血小闆%急性生理學與慢性健康狀況評分%序貫器官衰竭估計評分%預後
위중증%혈소판%급성생이학여만성건강상황평분%서관기관쇠갈고계평분%예후
Critical y il%Platelet%APACHEIIscore%SOFA score%Prognosis
目的探讨血小板水平与危重症患者预后的关系。方法选择危重症患者157例，按急性生理学与慢性健康状况Ⅱ( acute physiology and chronic health evaluationⅡ, APACHEⅡ)评分结果将入选患者分为三组：院A组(APACHEⅡ评分<12分), B组(APACHEⅡ评分12~20分), C组(APACHEⅡ评分>20分)，根据患者的预后分为存活组和死亡组。进行APACHEⅡ评分及序贯器官衰竭估计（Sequential organ failure as es ment，SOFA）评分，血小板计数做专门记录。结果 A组与B组、C组比较，前者血小板计数较后两组高，SOFA评分低，病死率低，均有统计学差异，B组与C组比较，前者较后者血小板计数高，SOFA评分低，病死率低，有统计学差异；存活组与死亡组比较,APACHEⅡ评分与血小板计数有显著性差异。结论血小板水平监测对评估危重病患者的病情预后具有一定的临床意义。
目的探討血小闆水平與危重癥患者預後的關繫。方法選擇危重癥患者157例，按急性生理學與慢性健康狀況Ⅱ( acute physiology and chronic health evaluationⅡ, APACHEⅡ)評分結果將入選患者分為三組：院A組(APACHEⅡ評分<12分), B組(APACHEⅡ評分12~20分), C組(APACHEⅡ評分>20分)，根據患者的預後分為存活組和死亡組。進行APACHEⅡ評分及序貫器官衰竭估計（Sequential organ failure as es ment，SOFA）評分，血小闆計數做專門記錄。結果 A組與B組、C組比較，前者血小闆計數較後兩組高，SOFA評分低，病死率低，均有統計學差異，B組與C組比較，前者較後者血小闆計數高，SOFA評分低，病死率低，有統計學差異；存活組與死亡組比較,APACHEⅡ評分與血小闆計數有顯著性差異。結論血小闆水平鑑測對評估危重病患者的病情預後具有一定的臨床意義。
목적탐토혈소판수평여위중증환자예후적관계。방법선택위중증환자157례，안급성생이학여만성건강상황Ⅱ( acute physiology and chronic health evaluationⅡ, APACHEⅡ)평분결과장입선환자분위삼조：원A조(APACHEⅡ평분<12분), B조(APACHEⅡ평분12~20분), C조(APACHEⅡ평분>20분)，근거환자적예후분위존활조화사망조。진행APACHEⅡ평분급서관기관쇠갈고계（Sequential organ failure as es ment，SOFA）평분，혈소판계수주전문기록。결과 A조여B조、C조비교，전자혈소판계수교후량조고，SOFA평분저，병사솔저，균유통계학차이，B조여C조비교，전자교후자혈소판계수고，SOFA평분저，병사솔저，유통계학차이；존활조여사망조비교,APACHEⅡ평분여혈소판계수유현저성차이。결론혈소판수평감측대평고위중병환자적병정예후구유일정적림상의의。
Objective To investigate the relationship between the platelet level and the prognosis of patients with critical y il . Methods 157 critical y il patients were divided into three groups based on acute physiology and chronic Health Evaluation(APACHE)II, that were A group (APACHE score<12), B group (APACHE score 12~20) and C group (APACHE score>20) . Patients were divided into two groups according to survival or death according to prognosis. APACHEIIscor and Sequential outraged failure assessment score were measured, and record the platelet counts. Results Group A compared with group B, group C, higher ranges are found in the former than the lat er,SOFA score and the case fatality rate are significantly lower. Group B compared with group C, higher ranges are found in the former than the lat er ,SOFA score and the case fatality rate are significantly lower. Survival group compared with death group, APACHE II score and the platelet count have significant dif erence .Conclusion Platelet levels to assess the condition of critical care patients prognosis has certain clinical significance.
