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目的评价急性生理与慢性健康状况评分Ⅱ(APACHEⅡ)评分系统在妇产科危重症患者病情评估中的适用性和可行性。方法对42例妇产科危重症患者进行APACHEⅡ评分,比较组间死亡率的差异。结果患者APACHEⅡ评分分值的增加,实际病死率逐渐增加,评分小于20分与评分大于20分组相比,χ2=5.64,P<0.05,差异有统计学意义;评分小于30分与大于30分组比较,χ2=4.47,P<0.05,差异亦具有统计学意义。结论 APACHEⅡ评分≥31分时,实际病死率显著增加,APACHEⅡ评分≤20分时,实际病死率低,无需入ICU治疗,因此可降低治疗费用,节约医疗资源。
Objective To evaluate the applicability and feasibility of the APACHE Ⅱ score system in the evaluation of the condition of critically ill obstetrics and gynecology patients. Methods 42 cases of obstetrics and gynecology critically ill patients APACHE Ⅱ score, compare the differences between the groups of mortality. Results The APACHEⅡscore score increased and the actual case fatality rate increased gradually. The score was less than 20 points and the score was greater than 20, χ2 = 5.64, P <0.05, the difference was statistically significant; score less than 30 points and more than 30 points , χ2 = 4.47, P <0.05, the difference was also statistically significant. Conclusion APACHEⅡ score ≥31 points, the actual mortality increased significantly, APACHE Ⅱ score ≤ 20 points, the actual mortality is low, without the need for ICU treatment, thus reducing the cost of treatment, saving medical resources.