儿童慢性危重症中医体质分型及预后回顾性分析  

Retrospective Analysis of Traditional Chinese Medicine Constitution Classification and Prognosis of Children with Chronic Critical Illness

作　　者：杨文海 赖志君 陈丽圆 邱明英 YANG Wenhai;LAI Zhijun;CHEN Liyuan;QIU Mingying(Pediatric ICU,Guangdong Medical University Affiliated Dongguan City Children's Hospital,Dongguan,Guangdong 523325;Traditional Chinese Medicine Department,Guangdong Medical University Affiliated Dongguan City Children's Hospital,Dongguan,Guangdong 523325)

机构地区：[1]广东医科大学附属东莞儿童医院儿童重症监护室,广东东莞523325 [2]广东医科大学附属东莞儿童医院中医科,广东东莞523325

出　　处：《智慧健康》2023年第33期56-60,共5页Smart Healthcare

摘　　要：目的探讨儿童重症监护室(pediatric intensive care unit,PICU)中儿童慢性危重症(pediatric chronic critical illness,PCCI)中医体质分型及预后情况。方法以2022年1月—12月在广东医科大学附属东莞儿童医院儿童重症监护室住院并达到PCCI诊断标准及符合《广东地区儿童中医体质辨识量表》中“广东地区儿童”定义的患儿为研究对象。根据患儿的病历资料、出院诊断等信息,访谈家长并填写《广东地区儿童中医体质辨识量表》,收集其临床信息及中医体质分型等数据,对所收集数据进行分析。结果2022年1—12月儿童重症监护室收治的住院患儿中,同时符合PCCI诊断标准及《广东地区儿童中医体质辨识量表》中“广东地区儿童”定义的2~14岁患儿共53例。53例PCCI中,有基础病者52例(98.11%),其中神经系统疾患23例(43.40%),先天性遗传疾病15例(28.30%)及肿瘤/免疫性疾病4例(7.55%)。其入住PICU的原因包括感染因素(52.83%)、基础病因素(43.40%)及意外伤害(3.77%)。体质分型中虚证体质50例(94.34%),实证体质3例(5.66%),其中气虚体质33例(66%),阴虚体质11例(22%)。在院病死率15.09%,出院率为84.91%,出院后180天内病死率11.32%。结论PCCI中医体质分型中以气虚体质为主,不同预后的中医体质分布情况无显著差异,其入住PICU主要原因为感染及基础病因素,出院后180d内病死率较高。Objective To explore traditional Chinese medicine constitution classification and prognosis of pediatric chronic critical illness(PCCI)in pediatric intensive care units(PICUs).Methods The paper chose children hospitalized in pediatric intensive care unit of Guangdong Medical University affiliated Dongguan Children's Hospital from January 2022 to December 2022,met PCCI diagnostic criteria and definition of"children in Guangdong area"in"Guangdong Children's Traditional Chinese Medicine Physical Fitness Identification Scale"as study subjects.Based on medical records,discharge diagnosis of patients,the paper interviewed parents and filled out Guangdong Children's Traditional Chinese Medicine Constitution Identification Scale,collected clinical information and TCM constitution classification data,and analyzed them.Results There were 53 hospitalized children aged 2 to 14,met PCCI diagnostic criteria and definition of"children in Guangdong area"in Guangdong Children's Traditional Chinese Medicine Physical Fitness Identification Scale in pediatric intensive care unit from January 2022 to December 2022,including 52 cases(98.11%)with underlying diseases,23 cases(43.40%)of neurological disorders,15 cases(28.30%)of congenital genetic diseases,and 4 cases(7.55%)of tumor/immune diseases.Reasons for admission to PICU included infection factors(52.83%),underlying disease factors(43.40%),and accidental injuries(3.77%).Among constitution types,there were 50 cases of deficiency syndrome constitution(94.34%)and 3 cases of empirical constitution(5.66%),among which 33 cases(66%)were qi deficiency constitution and 11 cases(22%)were Yin deficiency constitution.In-hospital mortality rate was 15.09%,discharge rate was 84.91%,and mortality rate within 180 days after discharge was 11.32%.Conclusion Classification of PCCI traditional Chinese medicine constitution shows main type of qi deficiency constitution, there is no significant difference in distribution of traditional Chinese medicine constitution among different prognoses. Main reason

关 键 词：儿童慢性危重症 儿童重症监护室 中医体质 预后 

分 类 号：R272[医药卫生—中医儿科学]