PEWS在热性惊厥、病毒性脑炎和化脓性脑膜炎患儿中的应用研究  

Application of PEWS in Children with Febrile Convulsion,Viral Encephalitis and Purulent Meningitis

作　　者：卢艳辉[1] 刘振奎[1] 李世阳[1] 王艳飞[1] 李春梅 袁二伟[1] 邢静[1] 郭卫平[1] LU Yanhui;LIU Zhenkui;LI Shiyang;WANG Yanfei;LI Chunmei;YUAN Erwei;XING Jing;GUO Weiping(Department of Paediatrics,First Affiliated Hospital of Hebei North University, Zhangjiakou Hebei 075000,China)

机构地区：[1]河北北方学院附属第一医院儿科,河北张家口075000

出　　处：《解放军预防医学杂志》2019年第1期73-75,82,共4页Journal of Preventive Medicine of Chinese People's Liberation Army

基　　金：河北省张家口市科技攻关计划项目(No.1521096D)

摘　　要：目的研究儿童早期预警评分(PEWS)在热性惊厥、化脓性脑膜炎和病毒性脑炎患儿中的应用价值。方法选取本院热性惊厥、化脓性脑膜炎和病毒性脑炎各100例患儿作为研究对象,均行PEWS评分。根据患儿病情严重程度,其中病情稳定、无需心电监护者为A组(热性惊厥91例,化脓性脑膜炎71例,病毒性脑炎78例);需血氧饱和度监测、心电监护,但未入住儿科重症监护病房(PICU)者为B组(热性惊厥9例,化脓性脑膜炎26例,病毒性脑炎15例);病情危急,需入住PICU者为C组(化脓性脑膜炎3例,病毒性脑炎7例),比较相同疾病下各组PEWS评分情况。结果热性惊厥患儿中,B组PEWS评分较A组显著升高(P<0.01)。化脓性脑膜炎患儿中,C组PEWS评分最高,其次是B组,而A组评分最低;三组患儿的评分比较,存在显著差异(P<0.01)。病毒性脑炎患儿中,C组PEWS评分最高,其次是B组,而A组评分最低;三组患儿的评分比较,存在显著差异(P<0.01)。结论 PEWS评分系统可用于评估神经系统疾病患儿病情严重程度,可作为临床简单、可行、有效、迅速的评估工具。Objective To study the value of the Pediatric Early Warning Score(PEWS)in children with febrile convulsion,purulent meningitis and viral encephalitis.Methods One hundred children with febrile convulsion,suppurative meningitis and viral encephalitis were examined with the PEWS score.In accordance with the severity of the disease,children whose condition was stable and required no ECG monitoring were assigned to group A(91 cases of febrile convulsion,71 cases of purulent meningitis,78 cases of viral encephalitis),those who needed oxygen saturation monitoring and ECG monitoring,but did not stay in the pediatric intensive care unit(PICU)were assigned to group B(9 cases of febrile convulsion,26 cases of purulent meningitis,15 cases of viral encephalitis),while those in critical condition and in PICU served as group C(3 cases of purulent meningitis and 7 cases of viral encephalitis).The PEWS score of the same disease was compared between the three groups.Results Among children with febrile convulsion,the score of PEWS in group B was significantly higher than that in group A(P<0.01).Among children with purulent meningitis,the PEWS score in group C was the highest,followed by group B,and the lowest score was in group A.There was significant difference between the three groups(P<0.01).Among children with viral encephalitis,the PEWS score in group C was the highest,followed by group B and group A.There was also significant difference between the three groups(P<0.01).Conclusion The PEWS scoring system can be used to evaluate the severity of children with neurological diseases,and it can be used as a simple,feasible,effective and quick means of assessment for children.

关 键 词：热性惊厥 化脓性脑膜炎 病毒性脑炎 儿童早期预警评分 

分 类 号：R720.5[医药卫生—儿科]