血清D二聚体和小儿危重评分在儿童重症感染性疾病中的运用价值  

Application value of serum D dimer and critical score in children with severe infectious diseases

作　　者：周帆[1] ZHOU Fan(Child Intensive Care Unit,Jiujiang Maternal and Child Care Centres,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江市妇幼保健院儿童重症监护室,江西九江332000

出　　处：《当代医学》2021年第29期73-75,共3页Contemporary Medicine

摘　　要：目的研究血清D二聚体和小儿危重评分(PCIS)在儿童重症感染性疾病中的运用价值。方法选取2019年1月至2019年12月本院收治的感染性疾病患儿80例,按小儿危重评分情况分为非危重组(PCIS>90分,n=23)、危重组(PCIS 70~90分,n=43)、极危重组(PCIS<70分,n=14)。比较3组患儿PCIS评分、血清D二聚体水平以及治疗转归情况。结果非危重组和危重组患儿PCIS评分均高于极危重组,非危重组PCIS评分高于危重组,差异有统计学意义(P<0.05);非危重组和危重组血清D二聚体水平均低于极危重组,非危重组血清D二聚体水平低于危重组,差异有统计学意义(P<0.05);非危重组和危重组好转率均高于极危重组,差异有统计学意义(P<0.05),非危重组和危重组好转率比较差异无统计学意义。结论儿童重症感染性疾病实施血清D二聚体水平检测及小儿危重评分有利于判断患儿病情发展情况,评估预后效果,从而制定具针对性的治疗护理措施,提高临床治疗效果,进而加速患儿病情康复,值得临床推广运用。Objective To study the application value of serum D-dimer and pediatric critical illness score(PCIS)in children with severe infectious diseases.Methods 80 children with infectious diseases admitted to our hospital from January 2019 to December 2019 were divided into noncritical group(PCIS>90 scores,n=23),critical group(PCIS 70-90 scores,n=43)and extremely critical group(PCIS<70 scores,n=14)according to the severity score.PCIS score,serum D-dimer level and treatment outcome were compared among the three groups.Results The PCIS score of the non-critical group and the critical group were higher than that of the extremely critical group,and the PCIS score of the non-critical group was higher than that of the critical group,the difference was statistically significant(P<0.05).The level of serum D-dimer in non-critical and critical groups was lower than that in extremely critical group,and the level of serum D-dimer in non-critical group was lower than that in critical group,the difference was statistically significant(P<0.05).The improvement rate of non-critical group and critical group was higher than that of extremely critical group,and the difference was statistically significant(P<0.05).There was no significant difference in the improvement rate between the critical group and the non-critical group.Conclusion The application of serum D-dimer level detection and pediatric critical severity score in children with severe infectious diseases is conducive to the judgment of the disease development,the evaluation of prognosis,so as to develop targeted treatment and nursing measures,improve the clinical treatment effect,and then accelerate the recovery of children,and it is worthy of clinical promotion and application.

关 键 词：血清D二聚体 小儿危重评分 重症感染性疾病 

分 类 号：R720.597[医药卫生—急诊医学]