河北医学Issue(4)：552-554,3.DOI:10.3969/j.issn.1006-6233.2015.04.008
APACHE Ⅱ评分与血乳酸清除率对危重症患者预后评估的比较
Comparison of APACHE Ⅱ Score and Blood Lactate Clearance Rate on the Prognosis of Critically Ill Patients
摘要
Abstract
Objective:To discuss the action of APACHE Ⅱscore , blood lactate clearance rate on com-parison prognosis of critically ill patients .Method:146 cases of critically ill patients were selected and di-vided into group A, B, C according to the level of APACHE Ⅱscore , each group were assessed blood lac-tate clearance rate , APACHE Ⅱscore ;patients were divided into groups of death and survival group , and then assess blood lactate clearance rate , APACHE Ⅱscore.Result:23 cases of 146 cases of death in criti-cally ill patients (15.8%), 123 cases survived (84.2%).Blood lactic acid level two groups B , C was higher than that in group A , the blood lactate clearance rate was significantly lower than that in group A , P<0.01, has statistical significance;group C blood lactate levels were significantly higher than that of group B , the blood lactic acid clearance rate was significantly lower in group B (P<0.05), with statistical significance;group A, B, C blood lactate levels with 24h the instant blood lactic acid level was low , P<0.05, with statis-tical significance;increase the APACHE II score of patients with blood lactate clearance rate decreases , P<0.05, with statistical significance;the death group APACHE II score was significantly higher than the surviv-al group, P<0.05, has statistical significance;24h blood lactic acid levels in the two groups than the instant blood lactic acid level is low , P<0.05, the statistical significance .Conclusion:By detecting the blood lactic acid level and APACHE II score well able to assess the prevalence of critically ill patients to the doctor , treatment of patients , so as to reduce the mortality of patients .关键词
APACHE Ⅱ评分/血乳酸清除率/危重症患者Key words
APACHE Ⅱscore/Blood lactate clearance rate/Critically ill patients引用本文复制引用
卢涛,张戈,晋照明,李华,徐棵,魏艳君..APACHE Ⅱ评分与血乳酸清除率对危重症患者预后评估的比较[J].河北医学,2015,(4):552-554,3.基金项目
2010年四川省医学会骨干人才计划项目， （）
