【摘要】 【目的】探讨ICU危重病人入院24 h内急性生理学及慢性健康状况评估Ⅲ(APACHEⅢ)评分和血清白蛋白(SAB)水平改变与病情及预后关系。【方法】对90例入住ICU 24 h的病人进行APACHEⅢ评分;同时测定SAB浓度,并按SAB分为<35 g/L组3、5~50 g/L组和>50 g/L组,分析SAB和APACHEⅢ评分与病情及预后关系。【结果】<35 g/L组和>50 g/L组APACHEⅢ评分均高于60分,死亡率人数较35~50 g/L组明显增多且差异有显著性。APACHEⅢ分值高低与病死率呈现正相关。【结论】APACHEⅢ评分和SAB浓度的改变对危重病人病情及预后有重要的相关性。更多还原

【Abstract】 【Objective】To explore the relationship of acute physiology and chronic health evaluation Ⅲ(APACHEⅢ) and the changes of serum albumin(SAB)concentration with the state of illness and prognosis of patients admitted to intensive care unit(ICU) in 24 hours.【Methods】The evaluation variable of APACHEⅢ was assessed,and the SAB concentrations were determined in 90 patients.All patients were divided into <35g/L group,35~50g/L group and >50g/L group according to SAB.The relationships of SAB concentration and APACHEⅢ with state of illness and prognosis were analyzed.【Results】The APACHEⅢ in <35g/L group and >50g/L group was more than 60,and the death rate of these two groups was significantly increased,compared with the 35~50g/L group.【Conclusion】There is positive correlation between APACHEⅢ and mortality.There is an important correlation of APACHEⅢ and the changes of SAB concentration with the state of illness and prognosis of patients.更多还原