应用SAPSⅡ评分系统预测脑血管意外的急性期死亡风险

目的 :探索脑血管意外患者的死亡风险的预测 ,为合理分配使用医疗资源提供依据。方法 :收集1999年收治的病情较重的脑血管意外患者 6 0例 ,记录每例发病到就诊时间、发病到死亡时间 (入院一周内 )、并对每例患者作 SAPS 评分 ,经统计学处理找到它们和死亡的关系。结果 :统计结果表明和死亡有关的因素是 SAPS 评分 ,发病到就诊时间和死亡无关 ,发病到死亡时间和 SAPS 评分无关。结论 :脑血管意外患者的 SAPS 评分和死亡明显相关 ,SAPS 评分可用于脑血管意外患者的预后预测。

The prediction of the Death Risk in Cerebrouascular Stroke with the SAPSⅡ Score System

Objective: To discuss the prediction of the death risk in cerebrovascular stroke to provide the basis for rationaly distributing and using medical resource.Methods: From 60 inpatients with moderate or severe cerebrovascular stroke in 1999, the time from onset to hospitalizing, the time from onset to death(within the first week) and the SAPSⅡ score were obtained. COX regression and univariate relation were used for statistic analysis for above data.Results: There is a correlativity between death and SAPSⅡ score. There are no correlativities between death and the time from onset to hospitalizing and between SAPSⅡ score and the time from onset to death.Conclusions: The SAPSⅡ score can be used for predicting the death risk of the inpatient with cerebrovascular stroke within the first week.