中国处方药
中國處方藥
중국처방약
CHINA PRESCRIPTION DRUG
2014年
1期
18-20
,共3页
儿童%监护病房%危重症%预后
兒童%鑑護病房%危重癥%預後
인동%감호병방%위중증%예후
Pediatrics%Intensive care units%Critical illness%Outcome assessment
目的:探讨小儿危重症病例评分(PCIS)在儿科重症监护室(PICU)的临床应用价值。方法对2012年7月~2013年1月PICU收治的149例危重患儿进行4次小儿危重病例评分,计算分值并探讨其变化的意义及与治疗效果、疾病预后的关系。结果按首次评分分值分为4组,分别为A组>90,B组81~89,C组71~80,D组<70,各组的死亡率分别为0%,5.5%,8.6%,35.3%;B、D组、C、D组组间死亡率差异有统计学意义。多次评分分值中>90组的构成比由16.1%上升至72.1%,大分值的病例增多,PICU的总体死亡风险降低。肺炎及颅内感染在多次评分中分值>90组的构成比上升的速率落后PICU的整体水平,而手足口病的上升速率高于整体水平。结论小儿危重病例评分能反映病情和预后,是预后不良和疾病严重性的早期预测指标,值得危重症科推广应用。
目的:探討小兒危重癥病例評分(PCIS)在兒科重癥鑑護室(PICU)的臨床應用價值。方法對2012年7月~2013年1月PICU收治的149例危重患兒進行4次小兒危重病例評分,計算分值併探討其變化的意義及與治療效果、疾病預後的關繫。結果按首次評分分值分為4組,分彆為A組>90,B組81~89,C組71~80,D組<70,各組的死亡率分彆為0%,5.5%,8.6%,35.3%;B、D組、C、D組組間死亡率差異有統計學意義。多次評分分值中>90組的構成比由16.1%上升至72.1%,大分值的病例增多,PICU的總體死亡風險降低。肺炎及顱內感染在多次評分中分值>90組的構成比上升的速率落後PICU的整體水平,而手足口病的上升速率高于整體水平。結論小兒危重病例評分能反映病情和預後,是預後不良和疾病嚴重性的早期預測指標,值得危重癥科推廣應用。
목적:탐토소인위중증병례평분(PCIS)재인과중증감호실(PICU)적림상응용개치。방법대2012년7월~2013년1월PICU수치적149례위중환인진행4차소인위중병례평분,계산분치병탐토기변화적의의급여치료효과、질병예후적관계。결과안수차평분분치분위4조,분별위A조>90,B조81~89,C조71~80,D조<70,각조적사망솔분별위0%,5.5%,8.6%,35.3%;B、D조、C、D조조간사망솔차이유통계학의의。다차평분분치중>90조적구성비유16.1%상승지72.1%,대분치적병례증다,PICU적총체사망풍험강저。폐염급로내감염재다차평분중분치>90조적구성비상승적속솔락후PICU적정체수평,이수족구병적상승속솔고우정체수평。결론소인위중병례평분능반영병정화예후,시예후불량화질병엄중성적조기예측지표,치득위중증과추엄응용。
Objective To analyze the clinical application value of pediatric critical illness score(PCIS)in the pediatric intensive care unit. Methods A total of 149 patients treated in Pediatric ICU were scored using PCIS from 1st January 2012 to 31th January 2013.During hospitalization patients were scored four times. Results According to the first scoring, cases were divided into four groups:110 ~ 90(A group), 81 ~ 89(B group), 71 ~ 80(C group)and 0 ~ 70(D group). The results showed that mortality rates four groups:0%,5.5%,8.6%,35.3%,respectively. The B with C groups differences was not statistically significant(P> 0.05);other differences were statistically significant(P< 0.05). The lower the scores were, the higher the mortality rate. According the mortality rates ought to divided for non-serious, serious, and extremely serious patients, which represented for score:110~90, 71~89, and 0~70. Conclusion PCIS may be used to evaluate severity of illness and is an early predictor of disease severity. The scoring systems should be worthy of applying in hospital.