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目的探讨重症监护病房(ICU)危重病患者入科血糖水平与急性生理学及慢性健康状况评估Ⅱ(APACHEⅡ)评分的关系及其对预后的影响。方法回顾性分析2007年2月至2008年2月入住ICU的203例患者:(1)比较存活病例与死亡病例入科血糖水平及APACHEⅡ评分的差异;(2)按入科血糖水平分为5组,比较血糖水平与APACHEⅡ评分和病死率的关系。结果(1)存活组入科血糖水平为(11.05±4.14)mmol/L,APACHEⅡ评分为(14.17±7.97)分;死亡组入科血糖水平为(15.15±5.99)mmol/L,APACHEⅡ评分为(27.95±7.51)分,2组比较差异均有统计学意义(P均<0.01)。(2)入科血糖水平增高,APACHEⅡ评分随之增高(F=7.42,P<0.01),入科血糖水平与APACHEⅡ评分呈正相关(r=0.387,P<0.01),病死率亦随之增高(χ2=30.88,P<0.01)。结论危重病患者入科血糖水平与APACHEⅡ评分一致,对判断病情及预后有一定指导作用。
Objective To investigate the relationship between the blood glucose levels and acute physiology and chronic health evaluation Ⅱ (APACHEⅡ) scores in critically ill patients in intensive care unit (ICU) and its prognostic significance. Methods A retrospective analysis of 203 patients admitted to the ICU between February 2007 and February 2008: (1) to compare the blood glucose level and APACHE Ⅱ score between survivors and deaths; (2) Group, comparing the relationship between blood glucose and APACHE Ⅱ score and mortality. (11.05 ± 4.14) mmol / L, APACHEⅡscore (14.17 ± 7.97), blood glucose level of death group (15.15 ± 5.99) mmol / L and APACHEⅡscore 27.95 ± 7.51), the differences between the two groups were statistically significant (all P <0.01). APACHEⅡscore increased (F = 7.42, P <0.01). There was a positive correlation between APACHEⅡscore and blood sugar level (r = 0.387, P <0.01) χ2 = 30.88, P <0.01). Conclusions The blood glucose level of critically ill patients is consistent with APACHEⅡscore, which can guide the judgment of disease and prognosis.