CURB-65改良评分评估脓毒症预后的研究

发布时间：2018-03-16 03:03

本文选题：脓毒症　切入点：序贯器官衰竭评分　出处：《中国医科大学学报》2017年08期 　论文类型：期刊论文

【摘要】：目的评价CURB-65改良评分对急诊脓毒症患者预后的评估能力。方法回顾性分析2014年1月至2015年1月首诊于中国医科大学附属第一医院急诊科的143例脓毒症患者的临床资料,进行CURB-65评分和序贯器官衰竭评分(SOFA);以CURB-65评分为基础,增加与脓毒症预后相关的指标,形成CURB-65改良评分,应用受试者工作特征曲线分析各评分系统在脓毒症预后中的价值。结果在脓毒症预后方面,CURB-65改良评分、CURB-65评分和SOFA评分在早期均有独立的预测能力,其中CURB-65改良评分的曲线下面积(AUC)及约登(Youden)指数最高(AUC=0.864,Youden指数=0.581)。CURB-65改良评分对早期脓毒症预后的预测能力优于传统的CURB-65评分及SOFA评分。结论 CURB-65改良评分在早期即可很好地预测脓毒症的预后,且其评估方法简单、便捷,可快速评估急诊脓毒症患者的病情,为早期给予患者有效治疗提供帮助。
[Abstract]:Objective to evaluate the ability of evaluating the prognosis of emergency sepsis patients with improved CURB-65 score. Methods from January 2014 to January 2015, the clinical data of 143 patients with sepsis who were first diagnosed in the emergency department of the first affiliated Hospital of China Medical University were analyzed retrospectively. CURB-65 score and Sequential Organ failure score were performed, based on the CURB-65 score, the indexes related to the prognosis of sepsis were increased, and the modified CURB-65 score was formed. Results in the prognosis of sepsis, CURB-65 improved score and CURB-65 score and SOFA score had independent predictive ability in the early stage of sepsis. The area under the curve of CURB-65 improved score and Yorden Youden index are the highest. The modified score of CURB-65 0.864 / Youden index 0.581g 路CURB-65 is superior to the traditional CURB-65 score and SOFA score in predicting the prognosis of early sepsis. Conclusion the modified CURB-65 score can be used in early stage. A good predictor of the prognosis of sepsis, The evaluation method is simple and convenient. It can quickly evaluate the condition of patients with emergency sepsis and provide help for early effective treatment.
【作者单位】：中国医科大学附属第一医院急诊科;濮阳市人民医院急诊科;
【分类号】：R459.7

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