论文部分内容阅读
目的探讨急诊内科危重患者的预后评估过程中应用急性生理与慢性健康状况评分Ⅱ(APACHEⅡ)的临床效果。方法 120例急诊内科危重患者作为研究对象,应用APACHEⅡ进行预后评估,对比存活患者和病死患者的APACHEⅡ评分。结果对存活组和死亡组的APACHEⅡ评分进行对比,存活组为(15.3±5.4)分,死亡组为(27.8±8.6)分,差异有统计学意义(P<0.05);对存活组和死亡组的预测病死率进行对比,存活组为(16.5±1.9)%,死亡组为(49.8±11.4)%,差异有统计学意义(P<0.05)。结论急诊内科患者的预后评估过程中,应用APACHEⅡ进行评估,可对患者病情的危重程度和预后效果进行有效评估,为患者的临床治疗提供科学依据。
Objective To investigate the clinical effect of acute physiology and chronic health status score Ⅱ (APACHEⅡ) in the prognosis evaluation of critically ill patients in emergency department. Methods A total of 120 critically ill patients were enrolled in this study. APACHE Ⅱ was used to evaluate the prognosis. The APACHE Ⅱ scores were compared between survivors and those who died. Results The APACHEⅡscore of survival group and death group were compared (15.3 ± 5.4) and death group (27.8 ± 8.6), the difference was statistically significant (P <0.05); Survival group and death group (16.5 ± 1.9)% in the survival group and (49.8 ± 11.4)% in the death group, the difference was statistically significant (P <0.05). Conclusion In the course of prognosis evaluation of emergency medical patients, APACHE Ⅱ can be used to assess the severity and prognosis of patients and provide a scientific basis for the clinical treatment of patients.