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当前位置：首页 / 血乳酸和APACHE Ⅱ评分对ICU危重病患者预后的评估价值

论著 | 更新时间：2015-10-15

血乳酸和APACHE Ⅱ评分对ICU危重病患者预后的评估价值

The evaluating effect of blood lactate and APACHE II score on prognosis of critical patients in ICU

刘凤鸣　谢逢春　易文枫　陈远鹏　谢馥懋

内科 201403期页码：261-263

作者机构：广西南宁市第一人民医院重症医学科，南宁市530022

基金信息：（收稿日期：2014-02-24修回日期：2014-04-20）

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目的研究危重患者血乳酸水平和慢性健康状况评分（APACHE Ⅱ评分）对危重患者预后的评估作用。方法对入住重症医学科106例危重患者在入院0.5 h、12 h、48 h后分别进行血乳酸水平的测定，进行血乳酸水平与APACHE Ⅱ评分的相关性分析。结果危重病患者的死亡危险性与血乳酸浓度有着高度相关性。乳酸高度升高组患者病死率显著高于正常组（P＜0.05）；病死组患者血乳酸浓度显著高于存活组（P＜0.05）；随着血乳酸浓度增高，病死率从11.11%增加至45.95%（P＜0.05），而死亡组患者的血乳酸浓度、APACHE Ⅱ评分分值较存活组明显增高，差异有统计学意义（P＜0.05）。APACHE Ⅱ评分与血乳酸浓度呈正相关（r=0.714，P＜0.001）。结论血乳酸水平与APACHE Ⅱ评分呈正相关，血乳酸水平可作为判断危重病预后的参考指标。

ObjectiveTo search the evaluating effect of blood lactate and APACHE II score on prognosis of critical patients. MethodThe blood lactate levels of 106 patients were examined in 30min, 12 hours, 48 hours when they were ad-mitted in intensive care unit (ICU),the correlation between blood lactate levels and APACHE Ⅱ score was analysed. ResultThe death-rate in critically ill group who had higher blood lactate was significantly higher than that in normal group(P＜0.05), increases with the concentration of blood lactate, mortality increased from 11.11% to 45.95%(P＜0.05), the risk of death and concentration of blood lactate were highly correlated in critically ill patients. The concentration of blood lactate was positive correlation with APACHE II score(r=0.714, P＜0.001). ConclusionsThe concentration of blood lactate is valuable of predicting prognosis of critical patients, and which was positive correlation with APACHE II score.

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