【摘要】 目的探讨创伤后急性生理学及慢性健康状况评分Ⅱ(APACHEⅡ)评分值对远期高血压患病率的预测作用。方法采用回顾性研究方法,选择1997年1月至1998年6月在唐山6家医院重症监护病房住院的创伤患者497例,将创伤患者按A-PACHEⅡ评分值分为15～24分亚组(n=283)、>24～34分亚组(n=162)、>34分亚组(n=52),分析不同亚组受试者的临床资料、血压值及高血压患病率。结果 3组患者随着APACHEⅡ评分值增加,收缩压和舒张压也明显增加(P<0.05)。结论创伤后APACHEⅡ评分值与远期血压值和高血压患病率呈正相关。更多还原

【Abstract】 Objective To study post-traumatic acute physiology and chronic health evaluationⅡ(APACHEⅡ) score on predicting the incidence of long-term hypertension.Methods Baseline clinical indexes and the morbidity of hypertension collected from the trauma patients(n=497)selected from 6 hospitals in Tangshan city during January 1997 to June 1998 were analyzed with the logistic regression test.The trauma patients were divided into three groups according to APACHEⅡ scores[15-24(n=283),>24-34(n=162) and >34(n=52)]and then blood pressure and morbidity of hypertension were evaluated in each group.Results SBP,DBP and morbidity were increased with the increase in APACHEII scores(P<0.05).Conclusion Trauma as a stress increases blood pressure and the morbidity of hypertension,showing an dose-effect.更多还原