小儿危重病护理评分法对于小儿护理的干预指导分析  

The Guide Analysis of Pediatric Critical Illness Score for Pediatric Nursing Intervention

作　　者：张洁[1] 郭树梅[1] 

机构地区：[1]陕西省榆林市第一医院,陕西榆林719000

出　　处：《成都医学院学报》2012年第2期331-332,共2页Journal of Chengdu Medical College

摘　　要：目的探讨小儿危重病护理评分法对于小儿护理的干预指导意义。方法采用APACHEⅡ评分系统回顾分析我院400例小儿危重病患者预后与并发症情况。结果经过观察,APACHEⅡ不同分数段危重病患儿病死率与并发症发生率比较差异均有统计学意义(P<0.05)。APACHEⅡ分值≤10分时,病死率与并发症发生率相对较低;APACHEⅡ分值>10分时,病死率与并发症发生率随着分值的增加而增加,其中APACHEⅡ分值>30分时,并发症发生率高达100%。结论 APACHEⅡ评分能较好地评估急诊危重病患儿病情的严重程度,医护人员可以应用APACHEⅡ评分尽早了解小儿危重病的预后程度并早期实施救治干预。Objective To investigate the guide significance of pediatric critical illness score for pediatric nursing intervention. Methods The APACHE Ⅱ score system was used to retrospectively analysis 400 cases of pediatric critical illness with prognosis and complications. Results APACHE Ⅱ scores with different segments of complications and mortality were statistically significant（P〈0.05）. When APACHE Ⅱ score≤10, the mortality and complication rate were relatively low. When APACHE Ⅱ score 〉 10, the mortality and complication rate were increased with the score. In which, when APACHE Ⅱ score〉 30, the complication rate was 100%. Conclusions APACHE Ⅱ score can better assess the critically ill child emergency severity. Clinical staff can use the APACHE Ⅱ score as soon as possible to understand the severity of critical illness and the implementation of early treatment intervention.

关 键 词：小儿 危重病 护理 APACHEⅡ评分 

分 类 号：R473.72[医药卫生—护理学]