婴幼儿重症肺炎病情危重的预测指标

科研成果详情

题名	婴幼儿重症肺炎病情危重的预测指标
其他题名	Predictive indices for critical condition for infants and young children with severe pneumonia
作者	李丰; 张园海; 邵兰; 陈其
发表日期	2012-09-15
发表期刊	中国当代儿科杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	重症肺炎预测指标婴幼儿
摘要	目的探讨婴幼儿重症肺炎病情危重的早期预测指标,为临床诊治提供参考。方法收集2009年1月至2011年12月住院的411例1～36个月的重症肺炎患儿临床资料,将与病情相关的23项指标进行logistic多因素回归分析。411例患儿分为危重组和普通组。危重组包括死亡及病程中需要抢救或气管插管机械通气的患儿,共139例;普通组为除危重组外的病例,共272例。结果通过logistic多因素回归分析最终筛选出8个有统计学意义的病情危重预测指标,其优势比(OR)由高到低依次为低血Ca2+(11.488),窦性心动过速(7.506),先天性心脏病(5.977),脑功能障碍症状(5.182),早产(4.978),血K+异常(2.910),代谢性酸中毒(2.489),营养不良(2.048)。结论婴幼儿重症肺炎病情危重的早期预测指标有低血Ca2+、窦性心动过速、先天性心脏病等8项,具备这些危险因素的重症肺炎患儿应加强监护,尽量转至儿科重症监护室治疗。
其他摘要	Objective To investigate the early predictive indices of critical condition in infants and young children with severe pneumonia,and to provide reference for diagnosis and treatment of the disease.Methods Clinical data were collected on 411 patients(aged 1-36 months) with severe pneumonia who were admitted from January 2009 to December 2011,and multivariate logistic regression analysis was performed using 23 potential indices.These cases were divided into a critical group of 139 cases who died in hospital or needed rescue or mechanical ventilation during the course of disease and an ordinary group of 411 cases.Results Eight indices with statistical significance were selected to predict the critical condition after multivariate logistic regression analysis,including hypocalcemia with the highest odds ratio(OR)(11.488),followed by sinus tachycardia(7.506),congenital heart disease(5.977),brain disorder symptoms(5.182),premature birth(4.978),blood potassium abnormality(2.910),metabolic acidosis(2.489) and malnutrition(2.048).Conclusions The predictive indices of critical condition in infants and young children with severe pneumonia are hypocalcemia,sinus tachycardia,congenital heart disease,brain disorder symptoms,premature birth,blood potassium abnormality,metabolic acidosis and malnutrition.The infants and young children with these risk factors need intensive care.
ISSN	1008-8830
卷号	14 期号:09 页码:664-666
页数	3
收录类别	CNKI ; 北大核心 ; CSCD
学科领域	医药、卫生 ; 内科学
URL	查看原文
CSCD记录号	CSCD:4635718
CNKI分类号	R725.6
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/67459
专题	第二临床医学院，附属第二医院、育英儿童医院_儿科学_儿内心血管
作者单位	温州医学院附属育英儿童医院儿童心血管科
第一作者单位	第二临床医学院，附属第二医院、育英儿童医院_儿科学_儿内心血管
第一作者的第一单位	第二临床医学院，附属第二医院、育英儿童医院_儿科学_儿内心血管
推荐引用方式 GB/T 7714	李丰,张园海,邵兰,等. 婴幼儿重症肺炎病情危重的预测指标[J]. 中国当代儿科杂志,2012,14(09):664-666.
APA	李丰, 张园海, 邵兰, & 陈其. (2012). 婴幼儿重症肺炎病情危重的预测指标. 中国当代儿科杂志, 14(09), 664-666.
MLA	李丰,et al."婴幼儿重症肺炎病情危重的预测指标".中国当代儿科杂志 14.09(2012):664-666.