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目的：探讨急性生理和慢性健康评分系统（ Ａ Ｐ Ａ Ｃ Ｈ Ｅ Ⅱ） 在重症监护治疗病房（ Ｉ Ｃ Ｕ） 应用的价值。方法：对２４７ 例危重症患者记录入 Ｉ Ｃ Ｕ 第１ 天、第３ 天和第７ 天 Ａ Ｐ Ａ Ｃ Ｈ Ｅ Ⅱ的分值，以通过 Ａ Ｐ Ａ Ｃ Ｈ Ｅ Ⅱ分值变化来预测其预后和治疗效果。结果： Ａ Ｐ Ａ Ｃ Ｈ Ｅ Ⅱ分值＜ １０ 分者未进行特殊的治疗干预（ Ｐ＜ ０ ．０１） ，此类患者入 Ｉ Ｃ Ｕ 意义不大。 Ａ Ｐ Ａ Ｃ Ｈ Ｅ Ⅱ分值＞ ３０ 分者病死率高达８０ ．４ ％ ，此类患者耗资昂贵，预后差。随着病情的好转， Ａ Ｐ Ａ Ｃ Ｈ Ｅ Ⅱ分值也有逐渐下降趋势。结论： Ｉ Ｃ Ｕ 采用 Ａ Ｐ Ａ Ｃ Ｈ Ｅ Ⅱ评估系统是必要的。
Objective: To investigate the value of acute physiology and chronic health scoring system (A P A C H E Ⅱ) in the intensive care unit (ICU). Methods: A total of 247 critically ill patients were enrolled in the scores of A P A C H E Ⅱ on day 1, day 3, and day 7 of I C U to predict the change of A P A C H E Ⅱ scores Prognosis and treatment effect. Results: There was no special therapeutic intervention (P <0.01) for patients with A P A C H E Ⅱ scores <10 points. A P A C H E Ⅱ score> 30 points, the mortality rate as high as 80. 4%, such patients costly, the prognosis is poor. With the improvement of the disease, A P A C H E Ⅱ scores also gradually decreased. Conclusion: It is necessary for I C U to use A P A C H E II evaluation system.