中国医药科学
中國醫藥科學
중국의약과학
China Medicine and Pharmacy
2015年
17期
203-205
,共3页
儿科监护病房%急性呼吸窘迫综合征%小儿危重病例评分%小儿死亡危险评分
兒科鑑護病房%急性呼吸窘迫綜閤徵%小兒危重病例評分%小兒死亡危險評分
인과감호병방%급성호흡군박종합정%소인위중병례평분%소인사망위험평분
PCIU%Acute respiratory distress syndrome%Pediatric critical illness score%Death risk score
目的 探讨儿科监护病房急性呼吸窘迫综合征患儿危重病例评分与死亡危险评分的价值.方法 回顾性分析入住我院PICU急性呼吸窘迫综合征患儿79例的临床资料.所有患儿均同时进行了小儿危重病例评分以及死亡危险评分,分析两种方法对急性呼吸窘迫综合征患儿死亡风险的预测作用,并分析两种评分方法的相关性.结果 死亡组与存活组患儿PCIS和PRISM 评分存在显著差异(P<0.01).两种评分结果存在显著负相关关系(P<0.01).Logistic回归分析显示PCIS和PRISM不是ARDS患儿死亡的独立预测因子(P>0.05).结论 PCIS及PRISM对PICU急性呼吸窘迫综合征患者病情的评估具有高度的一致性,并且能够较为准确地评估患儿的病情,但其并不能作为预测患儿死亡的独立预测因子.
目的 探討兒科鑑護病房急性呼吸窘迫綜閤徵患兒危重病例評分與死亡危險評分的價值.方法 迴顧性分析入住我院PICU急性呼吸窘迫綜閤徵患兒79例的臨床資料.所有患兒均同時進行瞭小兒危重病例評分以及死亡危險評分,分析兩種方法對急性呼吸窘迫綜閤徵患兒死亡風險的預測作用,併分析兩種評分方法的相關性.結果 死亡組與存活組患兒PCIS和PRISM 評分存在顯著差異(P<0.01).兩種評分結果存在顯著負相關關繫(P<0.01).Logistic迴歸分析顯示PCIS和PRISM不是ARDS患兒死亡的獨立預測因子(P>0.05).結論 PCIS及PRISM對PICU急性呼吸窘迫綜閤徵患者病情的評估具有高度的一緻性,併且能夠較為準確地評估患兒的病情,但其併不能作為預測患兒死亡的獨立預測因子.
목적 탐토인과감호병방급성호흡군박종합정환인위중병례평분여사망위험평분적개치.방법 회고성분석입주아원PICU급성호흡군박종합정환인79례적림상자료.소유환인균동시진행료소인위중병례평분이급사망위험평분,분석량충방법대급성호흡군박종합정환인사망풍험적예측작용,병분석량충평분방법적상관성.결과 사망조여존활조환인PCIS화PRISM 평분존재현저차이(P<0.01).량충평분결과존재현저부상관관계(P<0.01).Logistic회귀분석현시PCIS화PRISM불시ARDS환인사망적독립예측인자(P>0.05).결론 PCIS급PRISM대PICU급성호흡군박종합정환자병정적평고구유고도적일치성,병차능구교위준학지평고환인적병정,단기병불능작위예측환인사망적독립예측인자.
Objective To analyze value of pediatric critical illness score and death risk score for Children with acute respiratory distress syndrome in PCIU.Methods Clinical data of 79 cases with acute respiratory distress syndrome in PCIU were retrospectivly analyzed.All cases were evaluated by pediatric critical illness score and death risk score.Predictive effect of two methods for acute respiratory distress syndrome was evaluated,and the correlation of two methods was analyzed.Results PCIS and PRISM of death group and survival group showed significant difference(P<0.01).There were significant negative correlation between two method results(P<0.01).Logistic regression analysis result showed PCIS and PRISM were not independent predictors for children with ARDS(P>0.05).ConclusionPediatric critical illness score and death risk score for children with acute respiratory distress syndrome in PCIU show hgh degree of consistency,and can assess the patient's condition to be able to accurately,but they are not independent predictors.
