简化小儿危重病例评分法在手足口病中的临床应用价值  

Clinical application value of simplified pediatric critical illness scoring in children with hand, foot and mouth disease

作　　者：杨富芝[1] 陈昭宏[1] 马勤[1] YANG Fu-zhi;CHEN Zhao-hong;MA Qin(Department of Pediatrics,Guangning People's Hospital,Zhaoqing526300,Guangdong,CHINA)

机构地区：[1]广宁县人民医院儿科,广东肇庆526300

出　　处：《海南医学》2019年第9期1173-1175,共3页Hainan Medical Journal

基　　金：广东省肇庆市科技创新计划项目编号:(201624030509)

摘　　要：目的探讨简化小儿危重病例评分法(简化PCIS)在手足口病患儿病情评估及预后判断中的应用价值。方法选择广宁县人民医院儿科2013年3月至2018年10月间诊治的105例手足口病患儿为研究对象,入院后予简化PCIS评分,将22例简化PCIS评分≤64分的患儿纳入观察组,余83例患儿简化PCIS评分>64分者纳入对照组,比较两组患儿的临床疗效指标及死亡率。结果观察组患儿的退热及疱疹消失时间、住院时间分别为(2.24±0.83) d、(6.24±1.62) d、(7.16±2.65) d,明显长于对照组的(4.79±1.52) d、(9.36±2.78) d、(12.95±3.81) d,差异均有统计学意义(P<0.05);观察组患儿的预后良好率为72.73%,明显低于对照组的95.18%,而死亡率为13.64%,明显高于对照组(0),差异均均有统计学意义(P<0.05)。结论简化小儿危重病例评分法可有效判断手足口病患儿的病情严重程度。Objective To explore the application value of simplified pediatric critical illness scoring (PCIS) in the evaluation and prognosis of children with hand, foot and mouth disease (HFMD). Methods A total of 105 children with HFMD were selected as subjects, who were diagnosed and treated in the Department of Pediatrics at Guangning People's Hospital from March 2013 to October 2018. After admission, the children were given the simplified PCIS score, of which 22 children with simplified PCIS score ≤64 were included into the observation group, and the remaining 83 children with simplified PCIS score >64 were included into the control group. The clinical efficacy and mortality were compared between the two groups. Results The time of fever abatement, herpes disappearance, and hospitalization in the observation group were (2.24±0.83) d,(6.24±1.62) d, and (7.16±2.65) d, respectively, which were significantly longer than corresponding (4.79±1.52) d,(9.36±2.78) d, and (12.95±3.81) d in the control group (P<0.05). In the observation group, the good rate of prognosis was 72.73%, which was significantly lower than 95.18% in the control group;and the mortality rate was 13.64%, which was significantly higher than 0 in the control group;both differences were statistically significant (P<0.05). Conclusion Simplified PCIS can effectively judge the severity of HFMD in children, and is of great significance in the clinical treatment effect and the prediction of disease prognosis.

关 键 词：手足口病 简化小儿危重病例评分法 临床疗效 病情评估 预后 

分 类 号：R729[医药卫生—儿科]