改良APACHEⅢ预测泌尿外科急诊手术并发症的应用价值(1)
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【摘要】目的评估改良APACHEⅢ预测泌尿外科急诊手术并发症的应用价值。方法将我院泌尿外科急诊住院手术患者39例分为并发症组(n=7),无并发症组(n=32),分别用APACHEⅢ、改良APACHEⅡ、改良APACHEⅢ进行评分,评分与泌尿外科急诊手术患者术后并发症的相关性进行比较,并分别用24 h内的APACHEⅡ、APACHEⅢ、改良APACHEⅢ受试者工作特征曲线(ROC),计算ROC曲线下面积,衡量各种评分系统对患者预后预测判别的能力。并通过ROC曲线加以证实。结果三者评分差异有统计学意义(P<0.05),随着分值的升高,并发症率亦呈现上升趋势。各评分法ROC曲线下面积均大于0.7,从大到小依次为:改良APACHEⅢ(0.878)改良APACHEⅡ(0.805)与 APACHEⅢ(0.809)。结论改良APACHEⅢ评分对泌尿外科急诊手术患者的预后评估是可行的,较其他两种评分方法更能反应并发症的发生几率。
【关键词】
泌外急诊手术;改良APACHEⅢ评分;术后并发症;急性生理和慢性健康状态评价
The modified APACHE Ⅲ forecast emergency surgery urological complications value
XIANG Jun,QIU Gang,ZHU Qin-long.Urology of HengGang people’s hospital ShengZhen 518115,China
【Abstract】ObjectiveTo evaluate the modified APACHEⅢ forecast emergency surgery urological complications value.Methodswill be hospitalized in our hospital emergency urological surgery is divided into
39 cases of patients with complications group(n=7),no complication group(n=32),respectively,with APACHEⅢ,modified APACHEⅡ,modified to APACHEⅢ score,score and urological emergency postoperative complications of patients to compare the relevance and use within 24 hours,respectively,the APACHEⅡ,APACHEⅢmodified APACHEⅢ receiver operating characteristic curve(ROC),calculated area under the ROC curve to measure a variety of scoring system for prognosis of patients with the ability to judge.And confirmed through the ROC curve.ResultsThe results of the three score differences were significant(P<0.05),with the scores of the higher complication rate has also shown an upward trend.The score area under the ROC curve were greater than 0.7,smallest as follows:improvement of APACHEⅢ(0.878)improved APACHEⅢ(0.805)and APACHEⅢ(0.809).ConclusionThe modified APACHEⅢ score of urological emergency operation to assess the prognosis of patients is feasible.Score than the other two methods better reflect the risk of complications.
【Key words】
Secretion outside the emergency operation; Modified APACHE Ⅲ score; Post-operative complications; Acute physiology and chronic health evaluation ......
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