【摘要】 目的分析血清NGAL水平与APACHEⅡ评分在评估患者AKI预后中的价值;方法将入住危重症医学科(ICU)的AKI患者,根据预后将患者分为存活组和死亡组,比较血清NGAL水平与APACHEⅡ分值与患者预后之间的关系;结果两组患者在ICU滞留时间、器官衰竭个数、重症感染、机械通气治疗、休克方面比较,差异有统计学意义(P<0.05);两组患者的Scr、NGAL、APACHEⅡ评分比较,差异有统计学意义(P<0.05),死亡组明显高于存活组;AKI不同分期NGAL、APACHEⅡ分值比较,差异有统计学意义(P<0.05);结论血清NGAL水平及APACHEⅡ评分均与急性肾损伤患者病情严重程度相关,在该类患者预后判断中具有一定的临床指导意义。更多还原

【Abstract】 Objective To analyze the level of serum NGAL and the score of APACHE II in evaluating the prognosis of patients with AKI. Methods AKI patients of ICU were separated into survival and death groups,in order to study the relationship between the level of serum NGAL and the score of APACHE II with the prognosis of the patients. Results Compared two groups of patients with detained ICU time,number of organ failure,severe infection,mechanical ventilation treatment and shock,The difference was statistically significant( P < 0. 05); The difference of Scr,NGAL and APACHE II between the two groups were also statistically significant( P < 0. 05). Conclusion The level of blood NGAL and the score of APACHE II were related to the severity of the patients with acute renal injury,there was a certain clinical significance in the prognosis of such patients.更多还原