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目的探讨不同预后评分在老年呼吸衰竭中的应用。方法选取2010年1月—2012年3月我院收治的老年呼吸衰竭患者103例,按照患者入住ICU后28 d的生存情况将其分为生存组53例和死亡组50例。收集患者相关资料,并采用急性生理学和慢性健康评分Ⅱ(APACHEⅡ)、急性生理学和慢性健康评分Ⅲ(APACHEⅢ)、多器官功能不全评分(MODS)、简化急性生理学评分(SAPSⅡ)进行评定。结果生存组患者APACHEⅡ、APACHEⅢ、MODS及SAPSⅡ均低于死亡组(P<0.05)。结论在老年呼吸衰竭患者中,不同的预后评分能帮助临床医生有效预测患者的生存与死亡状态。
Objective To explore the application of different prognostic scores in senile respiratory failure. Methods 103 elderly patients with respiratory failure admitted to our hospital from January 2010 to March 2012 were divided into survival group (n = 53) and death group (n = 50) according to their survival after 28 days. Patient-related data were collected and evaluated using the APACHE II, APACHE III, MODS, and SAPS II. Results APACHE Ⅱ, APACHE Ⅲ, MODS and SAPS Ⅱ in survival group were lower than those in death group (P <0.05). Conclusion In the elderly patients with respiratory failure, different prognostic scores can help clinicians effectively predict patients’ survival and death status.