Objective To study the application of chronic obstructive pulmonary disease and bronchial asthma physiology score(CAPS) for evaluation the severity and prognosis for patients with chronic obstructive pulmonary disease nursing during acute exacerbation period, and guide the establishment of nursing and treatment plan. Method In-hospital patients with chronic obstructive pulmonary disease nursing during acute exacerbation period from Sept.2008 to May 2010 was retrospectively surveyed and evaluated by CAPS, and divided into improved group and death group based on the final outcome. The CAPS result, time of invasive ventilation and stay in ICU, cost of hospitalization was measured and compared between the two groups. The prognosis differentiate degrees was estimated by ROC curve areas. Result The CAPS result, time of invasive ventilation and stay in ICU, cost of hospitalization was (37. 18±8.28),(26.71± 8. 36), (34.86±37.87), (35.82±38. 10), (6.63± 5.36), (8. 75±7.85), (108 371± 118 538.87)and (31 213.38±28 396.23)for improved group and death group respectively. There was significant difference between groups(P＜0. 05). The ROC curve areas was 0. 835 by CAPS, The maximum Youden index was 0. 604 at 31.5 minutes, The correlation index of CAPS and mortality was 0. 09. Conclusion The CAPS was valuable for evaluation the situation and prognosis for patients with chronic obstructive pulmonary disease during acute exacerbation period, The CAPS will provide standards for reasonable usage manpower and establishing nursing plan.%目的 探讨慢性阻塞性肺疾病和支气管哮喘生理评分(the COPD and Asthma Physiology Score,CAPS)能否正确评估慢性阻塞性肺疾病急性加重期(AECOPD)患者病情的严重性和预后,指导治疗和护理计划的制定.方法 对我科2008年9月～2010年5月住院的AECOPD患者进行回顾性分析和CAPS评分,按最终转归分为好转组和死亡组,比较两组的CAPS评分、有创通气时间、住ICU时间、住院费用;计算ROC曲线下面积以判断CAPS评分对预后的分辨度.结果 死亡组和好转组CAPS评分、有创通气时间(d)、住ICU时间(d)、住院费用(元)比较,差异有显著意义,P<0.05;CAPS评分ROC曲线下面积为0.835,Youden指数在31.5分时最大为0.604;不同分数段CAPS评分与病死率的相关系数是0.90.结论 CAPS评分对AECOPD患者的病情和预后有较好的判断价值,CAPS评分可为合理使用人力资源,制定护理计划提供客观的标准.
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