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目的研究运用卫气营血辨证与APARCHⅡ评分系统对全身炎症反应综合征(SIRS)患者病情评估的关系,初步探讨卫气营血辨证对SIRS病情评估的临床应用价值。方法对新疆医科大学附属自治区中医院ICU病房收治的40例SIRS患者按卫气营血辨证分期,分析各期患者的体温、心率、呼吸、血象及APARCHⅡ评分分值、死亡风险系数,寻求其中的关联。结果各期患者体温、心率、呼吸、血象之间差异不显著;营、血分证与气分证患者比较,APARCHⅡ评分分值、死亡风险系数差异显著,而营、血分证比较差异不显著。结论卫气营血辨证对SIRS患者病情评估与APACHEⅡ评分系统评估之间存在一定联系,前者具有方便、经济、准确的特点,对简单临床观察具有优势,是一种行之有效的方法。
Objective To study the relationship between syndrome differentiation syndrome and APARCHⅡscore system in patients with systemic inflammatory response syndrome (SIRS), and to explore the clinical value of syndrome differentiation syndrome differentiation syndrome on SIRS. Methods Forty SIRS patients admitted to ICU ward of affiliated hospital of Xinjiang Uygur Autonomous Region of Xinjiang Uygur Autonomous Region were enrolled in this study. According to the stages of syndrome differentiation and syndrome differentiation, we analyzed the body temperature, heart rate, respiration, hemogram and APARCHⅡscore scores, Associated. Results There was no significant difference between body temperature, heart rate, respiration and blood in all stages. The differences of APARCHⅡscore scores and death risk factors between battalion and blood test were not significant . Conclusion There is a certain relationship between the syndrome differentiation and syndrome differentiation of SIRS and the assessment of APACHEⅡscore system. The former is convenient, economical and accurate, and has the advantage of simple clinical observation. It is an effective method.