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目的 :比较急性生理与慢性健康状况评分Ⅱ (APACHEⅡ )与多器官功能障碍评分 (MODS)对ICU患者预后价值。方法:记录104例机械通气超过48h患者入院时的APACHEⅡ、MODS评分及住院时间与转归。结果:存活组与死亡组MODS分值差别有统计学意义(P<0.01) ,MODS评分分值越高病死率越高,APACHEⅡ评分无此趋势。用COX比例风险模型分析2组间APACHEⅡ及MODS评分差异均有统计学意义(P<0.01) ,对预后价值最大的6个器官功能障碍变量依次为 :神经系统、心血管、血液、肾脏、肝脏及呼吸系统。结论:APACHEⅡ及MODS评分对ICU患者预后均有价值 ,若评价住院期间病死率 ,MODS评分优于APACHEⅡ评分
Objective: To compare the prognostic value of acute physiology and chronic health status Ⅱ (APACHE Ⅱ) and multiple organ dysfunction score (MODS) in patients with ICU. Methods: The APACHE Ⅱ, MODS scores, hospital stay and outcome of 104 patients with mechanical ventilation over 48h were recorded. Results: There were significant differences in MODS score between survival group and death group (P <0.01). The higher the MODS score was, the higher the mortality was and APACHE Ⅱ score did not. The COX proportional hazards model was used to analyze the difference of APACHEⅡand MODS between the two groups (P <0.01). The order of 6 organ dysfunction variables with the highest prognostic value was neurological, cardiovascular, blood, kidney and liver And respiratory system. Conclusion: The APACHE Ⅱ and MODS scores are of great value in the prognosis of ICU patients. To evaluate the mortality during hospitalization, MODS score is better than APACHE Ⅱ score