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为了验证APACHEⅡ危重病评分系统是否适用于国内ICU病人评定,采取前瞻性研究方法,分析了上海华山医院1992年1月—1994年3月收住急诊科ICU病人334例中的269名危重病病人。结果发现APACHEⅡ评分的计分值与死亡率有密切关系,随着APACHEⅡ计分值的增加,死亡率增高。同时发现,加强对ICU病人的护理工作,可以降低死亡危险度。采用Logistic回归分析,死亡率与APACHEⅡ计分及于ICU住院时间的方程式如下:死亡率=-5.7194+1.7325APACHEⅡ计分-0.3386
In order to verify whether the APACHE Ⅱ critical illness scoring system is suitable for the assessment of ICU patients in China, a prospective study was conducted to analyze 269 critically ill patients admitted to Shanghai Huashan Hospital from January 1992 to March 1994 for 334 ICU patients in emergency department . The results showed that the score of APACHE Ⅱ scores and mortality are closely related, with the APACHE Ⅱ score increases, the mortality rate increased. At the same time, it is found that strengthening the nursing work on ICU patients can reduce the risk of death. Using logistic regression analysis, the mortality and APACHE II scores and ICU hospitalization time equations were as follows: Mortality = -5.7194 + 1.7325 APACHE II Score -0.3386