摘要
目的研究特异性危重程度评分用于先心病患儿术后病情预警的作用。方法对2014年1-12月入住上海交通大学医学院附属儿童医学中心CICU的先心痛术后病情危重患儿201例，采用小儿先心病术后危重评分工具在息儿术后入住CICU即刻、入住CICU2h内、入住后2-4h，之后每间隔4h进行评分，直至患儿出CICU或死亡。结果死亡患儿（22例）危重程度评分的均值、最高值、最低值显著高于存活患儿（179例）（均P〈0．01）。三种评分的ROC曲线下面积大于0．9且拟合优度佳（均P〉0．05）。患儿入住CICU后4-60h是出现最高值的高峰时间段，4h尤甚；评分均值≥10分，最高值≥20，为“警戒状态”；评分均值≥16分，最高值≥26分，则为“危机状态”。结论小儿先心病术后危重评分工具针对CICU患儿术后病情预警效果好，对临床具有指导意义。
Objective To study the warning effect of the Specific Critical Score for children with congenital heart diseases. Methods A total of 201 children admitted to CICU of Shanghai Children＇s Medical Center in 2014 were recruited. Ttey were ewtluated using the Specific Critical Score for children with congenital heart diseases right after admission into CIGU, within 2 hours and 2 to 4 hours after admission, and then every 4 hours until they left CICU or died. Results The mean, maximum and minimum values of the children who died （22 cases） were significantly higher than those surviving （179 cases） （P〈0.01 for all）. The area under the ROC curve for mean, maximum and minimum values was more than 0.9 and the goodness of fit tests generated excellent results （P〈0.05）. The peak value of the score appeared within 4 to 60 hours after entering CICU, most likely at 4 hours. With the mean score of 10 or more and the maximum value of 20 and above, the children came into the ＂alert state＂, while they were in the ＂crisis state＂ with the mean score of 16 or more and the maximum value of 26 and above. Conclusion The Specific Critical Score for children with congenital heart diseases is effective in predicting the severity of illness in children admitted into CICU after surgery and is of significance in clinical practice.
出处
《护理学杂志》
CSCD
2016年第4期1-4,共4页
Journal of Nursing Science
关键词
先天性心脏病
重症监护
疾病危重程度
预警
congenital heart disease
intensive care
severity of illness
warning
