PICU小儿危重评分与死亡危险评分的比较及其价值分析  

Analysis of the PICU critically ill children with pediatric critical score and pediatric death risk score and their value

作　　者：银羽[1] 王芳[1] 成怡冰[1] 孙瑜[2] 

机构地区：[1]郑州市儿童医院急诊科,郑州450053 [2]中国人民解放军第二军医大学急诊科

出　　处：《中国医师杂志》2013年第7期869-872,共4页Journal of Chinese Physician

基　　金：国家自然科学基金（81000825）

摘　　要：目的探讨危重症病房（PICU）危重患儿小儿危重评分（PCIS）和死亡危险评分（PRISM）的比较及其价值。方法回顾性分析2007年7月至2012年7月本院PICU治疗100例急性呼吸窘迫综合征（ARDS）患儿的临床资料，对入住PICU病情严重的ARDS患儿进行PCIS与PRISM评分，采用Logistic多元回归分析上述两种评分的分值是否能够作为预测ARDS患儿死亡的危险因素，运用最小二乘法分析上述两种评分方法是否存在直线相关关系。结果（1）PCIS与PRISM评分呈负相关性（r=-0．6031，P〈0．01），二者线性回归方程为Y=-0．2389x＋74．816（P〈0．01）。（2）PCIS与PRISM评分分值在ARDS死亡组与存活组间的差异无统计学意义（P〉0．05）；PCIS与PRISM评分对患儿死亡风险的Logistic回归分析，差异无统计学意义（P〉0．05）。结论PCIS与PRISM评分具有一致性，结合临床及两种评分能较好的评估ARDS病情变化，不能作为ARDS死亡的预测标准，但能为抢救患者提供客观参数，对指导救治具有重要意义。Objective To investigate the pediatric intensive care unit （PICU） in critically ill chil- dren with pediatric critical score （PCIS） and pediatric death risk score （PRISM） , comparing its value. Methods A total of 100 cases of matching children with acute respiratory distress syndrome （ARDS） to stay in our hospital during 2007.07 - 2012.07 was retrospectively analyzed. Check PICU most serious dis- ease in this group of children, living PICU most severely ill when diagnosed with acute respiratory distress syndrome （ARDS） , when it was suffering from ARDS most serious line PCIS with PRISM score, and then using the Logistic multiple regression to analyze the scores of the two scoring ability as predicting the ARDS death in children with risk factors, and using two-factor analysis of variance of the two scoring methods by judging linear correlation existence. Results （1）PCIS with PRISM score showed a negative correlation （ r = -0. 6031, P 〈0.01 ）, the linear regression equation y = -0. 2389x ＋74. 816 （ P 〈0. 01 ）. （2） There was no statistical difference between the ARDS death group and survival group （ P 〉 0.05 ） ; By PCIS PRISM score LOGISTIC regression analysis of the risk of death in children, there was no statistical differ- ence （ P 〉 0. 05 ）. Condusions PCIS and PRISM score cannot be the standards to forecast the death of the ARDS patients, but can provide an objective referring standard of ARDS＇s treatment.

关 键 词：重症监护病房 危重病 呼吸窘迫综合征 成人 儿童死亡率 

分 类 号：R720.597[医药卫生—急诊医学]