急性生理与慢性健康状况评分系统Ⅲ及氧合指数与老年重症肺炎预后的关系分析

目的分析急性生理与慢性健康状况评分系统Ⅲ(APACHEⅢ)及氧合指数与老年重症肺炎预后的关系。方法将本院收治的64例老年重症肺炎患者按照预后不同分为存活组和死亡组,2组均接受相同治疗方法,在治疗过程中进行A-PACHEⅢ评分、动脉血气分析,并计算氧合指数,分析APACHEⅢ评分及氧合指数与老年重症肺炎预后的关系。结果存活组患者从入院第5天开始氧合指数较确诊时显著升高,APACHEⅢ评分显著降低;死亡组患者从入院第5天开始氧合指数较确诊时显著降低,APACHEⅢ评分显著增高。死亡组患者各时间点的氧合指数均显著低于存活组,APACHEⅢ评分显著高于存活组。结论 APACHEⅢ评分及氧合指数与老年重症肺炎的预后存在密切关系,可以作为评估患者病情危重程度的参考,对于判断预后意义重大。

Relationships between acute physiology and chronic health evaluation system Ⅲ, oxygenation index and prognosis of senile severe pneumonia

Objective To analyze the relationships between acute physiology and chronic health evaluation system Ⅲ(APACHEⅢ),oxygenation index and prognosis of senile severe pneumonia.Methods Sixty-four senile patients with severe pneumonia in our hospital were divided into survival group and death group according to different prognosis.Patients in both groups received the same treatment,and the APACHEⅢ scoring,arterial blood gas analysis and oxygenation index calculation were carried during treatment.The relationships between APACHEⅢ,oxygenation index and prognosis of senile severe pneumonia were analyzed.Results Compared with the levels when diagnosed,the oxygenation indexes significantly increased from the fifth day after patients in survival group were hospitalized,and the APACHEⅢ scoring significantly decreased.While the oxygenation indexes significantly decreased from the fifth day after patients in death group were hospitalized,and the APACHEⅢ scoring significantly increased.The oxygenation index at each point in death group was significantly lower than that in survival group,while the APACHEⅢ scoring was significantly higher.Conclusion There is a close relationship between APACHE Ⅲ,oxygenation index and prognosis of senile severe pneumonia.It can be used as a reference to evaluate the critical degree of patients,and is important for prognosis evaluation.