| 梁建军,徐 飞,廖 阳,唐 荣,杨 浩.ISS与APACHEⅡ评分对急诊多发伤患者伤情评估的价值分析[J].,2020,(6):1138-1141 |
| ISS与APACHEⅡ评分对急诊多发伤患者伤情评估的价值分析 |
| Evaluation of the Value of ISS and APACHE II Scores for the Evaluation of Injuries in Patients with Multiple Trauma in Emergency Department |
| 投稿时间：2019-09-02 修订日期：2019-09-27 |
| DOI：10.13241/j.cnki.pmb.2020.06.031 |
| 中文关键词: 急诊 多发伤 ISS APACHEⅡ评分 伤情评估 |
| 英文关键词: Emergency department Multiple injuries ISS APACHE II score Injury assessment |
| 基金项目:国家卫生计生委医药卫生科技发展研究中心基金项目(W2015CAE173) |
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| 中文摘要: |
| 摘要 目的：探讨损伤严重程度计分法(Injuryseverityscore，ISS)和慢性健康评分(Acute physiology and chronic health evaluation scoreⅡ，APACHEⅡ)评分对急诊多发伤患者伤情评估的应用价值。方法：将我院自2016年6月至2019年6月急诊收治的多发伤患者85例作为研究对象，分别使用ISS和APACHEⅡ评分，追踪患者住院期间的伤情严重程度和预后情况。结果：急诊多发伤患者入院时ISS评分和APACHEⅡ评分越高，患者ICU收住率和死亡率越高，患者预后越差(P＜0.05)；死亡的急诊多发伤患者ISS评分和APACHE-Ⅱ评分均明显高于存活组(P＜0.05)。ISS评分预测急诊多发伤患者死亡的灵敏度为87.06%，特异性为85.88%，APACHE-Ⅱ评分预测急诊多发伤患者死亡的灵敏度和特异性分别为88.24%和87.06%，差异无统计学意义(P＞0.05)，两者联合预测急诊多发伤患者死亡的灵敏度为95.29%，特异性为94.12%，均优于单独预测(P＜0.05)。结论：ISS评分和APACHE-Ⅱ评分能够较为准确的评估急诊多发伤患者的病情严重程度，对患者预后具有较好的预测价值，两者结合使用的应用价值更高。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the application value of ISS and APACHE II scores for the evaluation of injuries in patients with multiple trauma in emergency department. Methods: Eighty-five patients with multiple injuries in our hospital from June 2016 to June 2019 were enrolled in the study. The ISS and APACHE II scores were used to track the severity and prognosis of patients during hospitalization. Results: The higher the ISS score and the APACHE II score in patients with multiple traumatic injuries, the higher the ICU admission rate and mortality rate, and the worse the prognosis (P<0.05). The ISS score and APACHE-II score of patients with multiple emergency injuries were significantly higher than those of the survival group (P<0.05). The sensitivity of the ISS score for predicting death in multiple trauma patients was 87.06% and the specificity was 85.88%. The sensitivity and specificity of the APACHE-II score for predicting death in multiple trauma patients were 88.24% and 87.06%, respectively. The difference was not statistically significant (P>0.05). The combined sensitivity of the two groups in predicting the death of patients with multiple traumatic injuries was 95.29% and the specificity was 94.12%, which was better than the single prediction (P<0.05). Conclusion: The ISS score and APACHE-II score can accurately assess the severity of patients with multiple trauma in emergency department, and have a good predictive value for prognosis. The combination application of the two is more valuable. |
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