【摘 要】
：
目的 探讨围术期急性生理及慢性健康状态评估Ⅱ评分系统(APACHEⅡ)动态评分对老年肝胆外科患者预后的评估价值.方法 选择该院2010年1月至2013年1月收治的行外科手术治疗的老
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目的 探讨围术期急性生理及慢性健康状态评估Ⅱ评分系统(APACHEⅡ)动态评分对老年肝胆外科患者预后的评估价值.方法 选择该院2010年1月至2013年1月收治的行外科手术治疗的老年肝胆病患者,分析患者APACHEⅡ评分变化情况及其与预后的关系.结果 存活与死亡患者术前APACHEⅡ评分差异无统计学意义,但术后1、3、7d存活组评分明显低于死亡组(P＜0.05);存活患者中,术后1 dAPACHEⅡ评分最高,术后3d次之,术后7d评分下降,但仍高于术前(P＜0.05);无并发症、轻度、重度并发症组患者术前评分无差异,术后1、3d评分差异显著(P＜0.05);无并发症组手术前后评分变化幅度明显低于轻度及重度并发症组(P＜0.05);随着APACHEⅡ评分变化幅度的增大,患者并发症发生率及死亡率明显增高(P＜0.05).结论 肝胆外科老年患者术后APACHEⅡ评分可作为临床早期干预的预警值.
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