Objective To study the scores of BAP-65 and CURB-65 in predicting need for mechanical venti-lation (MV)in patients with AECOPD.Methods A total of 1 71 patients with AECOPD were selected,and the scores of BAP-65 and CURB-65 were compared between MV patients and non-MV patients.The prediction value of the scores on mechanical ventilation was evaluated through ROC curve.Results The scores of BAP-65 and CURB-65 were higher in the MV group than in the non-MV group (P<0.01 ).The area under ROC curve of BAP-65 and CURB-65 was both higher than 0.7,but BAP-65 was superior to CURB-65 in the prediction of MV need.Conclu-sion The scores of BAP-65 and CURB-65 show strong capability of predicting MV need,and BAP-65 is more accu-rate and suitable than CURB-65 is.%目的：探讨BAP-65及CURB-65评分在预测慢性阻塞性肺疾病急性加重期（AECOPD）患者行机械通气的应用。方法以呼吸内科、内科ICU病区的171例AECOPD患者为研究对象，比较机械通气患者（MV组）和非机械通气患者（非MV组）的BAP-65和CURB-65评分；构建ROC曲线分析BAP-65和CURB-65评分对AECOPD患者行机械通气的预测价值。结果 MV组患者的BAP-65评分的风险等级和CURB-65评分的分值显著高于非MV组（P＜0.01）；BAP-65和CURB-65评分的ROC曲线下面积（AUROC）均大于0.7，能较好预测 AECOPD 患者行机械通气，但 BAP-65评分（AUROC ＝0.843）优于 CURB-65评分（AUROC ＝0.728）。结论 BAP-65和CURB-65评分均具有较好的分辨度，BAP-65评分准确性高于CURB-65评分，更适用于AECOPD患者行机械通气的预测。
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