摘要
目的探讨儿童危重评分(PCIS)与儿童死亡风险评分(PRISMⅢ)对儿童急性呼吸窘迫综合征(ARDS)的病情评价、预后预测的准确度及其相关关系。方法2005年12月～2006年12月河北省ARDS协作组所在医院29d～14岁的住院患儿且符合ARDS诊断标准者71例,在ARDS患儿入PICU、住PICU病情最重时、确诊ARDS、患ARDS最重时对其同时行PCIS和PRISMⅢ评分,之后对所记录分值以Logistic回归分析二种评分的分值是否能预测患儿的死亡危险;双因素方差分析寻求其数值变化规律;以直线相关分析评价二种评分方法间是否有直线相关关系及其关程度;直线回归计算回归方程。结果PCIS与PRISMⅢ评分对患儿死亡风险的Logistic回归分析Pa>0.05;PCIS及PRISMⅢ评分分值在ARDS死亡组与存活组间均无统计学差异Pa>0.05。PCIS与PRISMⅢ评分呈显著负相关(r=-0.342P=0.001),回归方程:Y=56.468+(-0.597)X(Y=儿童死亡风险评分,X=危重评分,t=-3.513P=0.001)。结论PCIS与PRISMⅢ评分对ARDS死亡预测欠准确。
Objective To explore the prognostic value of pediatric critical illness score（PCIS）and pediatric risk of mortality score（PRISMⅢ）and the accuracy for evaluating the state of children with acute respiratory distress syndrome（ARDS）.Methods Seventy-one cases hospitalized children from 29 days to 14 years old of Hebei ARDS cooperation group were selected during the 13 months between 2005 and 2006.All cases were confirmed according to ARDS diagnostic standard.For prospective studies,the patients were scored simultaneously with PCIS and PRISMⅢ at different times：when the patients entered PICU,when the patients were in the worst situation in PICU,when the patients were diagnosed as ARDS and when ARDS was serious.The data were performed by using Logistic regression etc.Results Values of Logistic regression were P〈0.05,and significant negative correlation between PCIS and PRISMⅢ could be found.The regression formula was：Y=56.467＋（-0.59）X,（Y=PRISMⅢ,X=PCIS,t=-3.513 P=0.001）.Conclusion It is unaccurate for PCIS and PRISMⅢ to forecast death of children with ARDS.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2007年第18期1383-1385,共3页
Journal of Applied Clinical Pediatrics
关键词
儿童
危重评分
死亡风险评分
呼吸窘迫综合征
急性
child
pediatric critical illness score
pediatric risk of mortality score
acute respiratory distress syndrome
