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目的评估分析急性生理学和慢性健康状况评分系统III(APACHEIII)对判断艾滋病(AIDS)患者病情的严重性、预后、临床救治的价值。方法整理我院2003年1月～12月住院AIDS患者116例的临床资料(其中存活组95例,死亡组21例),采用APACHEIII评分评估AIDS患者病情的严重性、预后和治疗效果。结果死亡组的APACHEIII和APS评分分值明显高于存活组(P<0.01);入院时的APACHEIII和APS评分分值较出院或死亡前差异显著(P<0.01);入院时APACHEIII分值≥60分时患者的死亡率明显增高,APACHEIII分值越高,治疗效果差,死亡率高。结论APACHEIII评分分值与AIDS患者病情的严重性、预后和疗效有较大的价值。
Objective To assess the value of the Acute Physiology and Chronic Health Evaluation System III (APACHEIII) in judging the severity, prognosis and clinical treatment of AIDS patients. Methods The clinical data of 116 inpatients with AIDS in our hospital from January to December 2003 were collected, including 95 survivors and 21 deaths. The APACHEIII score was used to evaluate the severity, prognosis and therapeutic effect of AIDS patients. Results The scores of APACHEIII and APS in the death group were significantly higher than those in the surviving group (P <0.01). The score of APACHEIII and APS at admission was significantly higher than that before discharge or death (P <0.01) Mortality was significantly higher in patients with time-sharing, the higher the APACHEIII score, poor treatment and high mortality. Conclusion The APACHEIII score has great value in the severity, prognosis and curative effect of AIDS patients.