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目的 :探讨 APACHE 对急性肾功能衰竭预后的预测价值及并发症评分对评分系统的作用。方法 :本院 1976～ 1996年住院的急性肾功能衰竭患者 34 8例 ,按入院后第 1次检查资料进行 APACHE 评分 ,比较各得分段的病死率 ;对并发症进行评分 ,比较并发症得分引入 APACHE 评分系统前后评分对预后的预测作用。结果 :APACHE 评分升高 ,病死率随之升高 ;引入并发症评分后病死率亦随总得分的升高而升高。引入并发症评分的判别分析方程具有较高的准确率、较大的正确指数及较小 L am bda值。结论 :APACHE 评分可以较好预测急性肾功能衰竭的预后 ,并发症评分的引入有可能改善预测的准确性。
Objective: To investigate the predictive value of APACHE in the prognosis of acute renal failure and the effect of complication score on scoring system. Methods: A total of 348 hospitalized patients with acute renal failure from 1976 to 1996 were enrolled in this study. The APACHE score was compared according to the first examination after hospital admission. The mortality of each segment was compared. The complication rates were compared and complication scores The introduction of APACHE scoring system before and after the prognosis of prognosis. Results: The APACHE score increased and the mortality rate increased. After the complication score was introduced, the case fatality rate also increased with the increase of the total score. The discriminant analysis equation which introduced the complication score has higher accuracy, larger correct index and smaller L am bda value. Conclusion: APACHE score can predict the prognosis of acute renal failure. The introduction of complication score may improve the accuracy of prediction.