儿童危重症早期预警评分系统在危重患儿诊治中的应用

Application value of early warning score system in the diagnosis and treatment of critical children

目的:探讨儿童危重症早期预警评分系统在危重患儿诊治中的应用价值。方法:选取120例住院患儿作为研究对象,其中支气管肺炎80例,脓毒血症40例,应用儿童危重症早期预警评分系统,将其分成低危组49例、中危组41例、高危组30例。检测各组血清(PCT)、血糖(G)、乳酸脱氢酶(LDH)、白细胞计数(WBC)、血小板计数(PLT)、C反应蛋白(CRP)等指标,并根据不同评分结果施加相应的治疗措施,同时对各组住院时间进行比较。结果:3组血清PCT、G、LDH、WBC、PLT、CRP比较差异有统计学意义(P<0.01)。低危组与中危组血清PCT、LDH、WBC、PLT、CRP差异有统计学意义(P<0.01),G比较差异无统计学意义(P>0.05)。住院时间比较,3组之间差异均有统计学意义(P<0.01),高危组住院时间长于其他2组,中危组住院时间长于低危组(P<0.01)。结论:儿童危重症早期预警评分系统在危重患儿诊治中有较强应用价值,可及时识别危重患儿,指导危重患儿的有效救治及预后评估。

Objective:To explore the application value of early warning score system in the diagnosis and treatment of critical children.Methods:One hundred and twenty hospitalized children included 80 cases of bronchopneumonia and 40 cases of sepsis,and divided into the low-risk group(49 cases),medium-risk group(41 cases)and high-risk group(30 cases)according to the early warning score system of children′s critical illness.The levels of serum procalcitonin(PCT),blood glucose(G),lactic dehydrogenase(LDH),white blood cell count(WBC),platelet count(PLT),C reactive protein(CRP)and other indexes were measured and compared among three groups.The corresponding treatment measures were applied according to different scores.At the same time,the hospitalization time among three groups were compared.Results:The differences of the levels of serum PCT,G,LDH,WBC,PLT and CRP among three groups were statistically significant(P<0.01).There were statistical significances in PCT,LDH,WBC,PLT and CRP between low-risk group and middle-risk group(P<0.01).The difference of the hospitalization time in high-risk group was longer than that in other two groups,and the hospitalization time in medium-risk group was longer than that in low-risk group(P<0.01).Conclusions:The early warning score system of children′s critical illness has a strong application value in the diagnosis and treatment of critical illness.It can identify the critical children in time,guide the effective treatment and prognosis evaluation of critical children.