摘要
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＆gt;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。
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.
出处
《中国处方药》
2014年第1期18-20,共3页
Journal of China Prescription Drug
关键词
儿童
监护病房
危重症
预后
Pediatrics
Intensive care units
Critical illness
Outcome assessment
