CN110444290A - A kind of improvement children early warning grade form children's emergency triage method - Google Patents
A kind of improvement children early warning grade form children's emergency triage method Download PDFInfo
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- CN110444290A CN110444290A CN201910684328.2A CN201910684328A CN110444290A CN 110444290 A CN110444290 A CN 110444290A CN 201910684328 A CN201910684328 A CN 201910684328A CN 110444290 A CN110444290 A CN 110444290A
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- 238000000034 method Methods 0.000 title claims abstract description 39
- 230000006872 improvement Effects 0.000 title claims abstract description 19
- 230000036760 body temperature Effects 0.000 claims abstract description 30
- 230000029058 respiratory gaseous exchange Effects 0.000 claims abstract description 24
- 238000011161 development Methods 0.000 claims abstract description 20
- 238000005259 measurement Methods 0.000 claims abstract description 20
- 238000003745 diagnosis Methods 0.000 claims abstract description 8
- 230000018109 developmental process Effects 0.000 claims description 19
- 230000002526 effect on cardiovascular system Effects 0.000 claims description 15
- 239000003814 drug Substances 0.000 claims description 8
- 229940079593 drug Drugs 0.000 claims description 8
- 230000008131 children development Effects 0.000 claims description 6
- 201000010099 disease Diseases 0.000 claims description 6
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 6
- 208000022306 Cerebral injury Diseases 0.000 claims description 4
- 206010019280 Heart failures Diseases 0.000 claims description 4
- 208000034486 Multi-organ failure Diseases 0.000 claims description 4
- 208000010718 Multiple Organ Failure Diseases 0.000 claims description 4
- 208000002193 Pain Diseases 0.000 claims description 4
- 206010057190 Respiratory tract infections Diseases 0.000 claims description 4
- 230000002757 inflammatory effect Effects 0.000 claims description 4
- 208000029744 multiple organ dysfunction syndrome Diseases 0.000 claims description 4
- 230000008569 process Effects 0.000 claims description 4
- 239000002510 pyrogen Substances 0.000 claims description 4
- 230000009467 reduction Effects 0.000 claims description 4
- 230000035939 shock Effects 0.000 claims description 4
- 208000024891 symptom Diseases 0.000 claims description 4
- 230000000287 tissue oxygenation Effects 0.000 claims description 4
- 238000001514 detection method Methods 0.000 claims description 3
- 230000003862 health status Effects 0.000 claims description 3
- 230000000694 effects Effects 0.000 abstract description 3
- 230000009286 beneficial effect Effects 0.000 abstract description 2
- 206010014612 Encephalitis viral Diseases 0.000 description 2
- 201000002498 viral encephalitis Diseases 0.000 description 2
- 235000007516 Chrysanthemum Nutrition 0.000 description 1
- 244000189548 Chrysanthemum x morifolium Species 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000011835 investigation Methods 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000011160 research Methods 0.000 description 1
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
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- Data Mining & Analysis (AREA)
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Abstract
The invention discloses a kind of improvement children early warning grade form children's emergency triage methods, and children's emergency triage method includes the following steps: Step 1: the orientation that scores；Step 2: formulating early warning grade form；Step 3: symptomatic diagnosis: pediatrician detects the breathing of children, angiocarpy and body temperature by existing Medical Devices and obtains diagnostic data result；Step 4: assessment.The beneficial effect of this method is: increasing the assessment to body temperature in the present invention on the basis of Traditional measurements method, it being capable of more acurrate identification infant state of an illness severe degree, it proposes to formulate different early warning grade forms by stages according to upgrowth and development of children simultaneously, it avoids because of children age Different Effects appraisal result, the children of different age group are more scientific using different early warning grade forms, using measurement assessment again, take its average value, to more preferably reflect infant state of an illness actual state, susceptibility of the PEWS in emergency treatment previewing triage is improved.
Description
Technical field
The present invention relates to a kind of early warning grade form children emergency triage method, specially a kind of improvement children's early warning is commented
Divide table children emergency triage method, belongs to medical applications technical field.
Background technique
It is domestic in recent years also to there are numerous scholars to study application of children's early warning scoring in children's condition assessment, Zhang Yu
Equal researchs think that score value >=3 point emergency ward PEWS are respectively 97.37% He to the susceptibility and specificity that judge infant state of an illness weight
The result of study in " application of children's early warning scoring in viral encephalitis " such as 34.69%, Cai Qun is that critical value is
It is 76.2% that PEWS, which assesses the susceptibility of the Viral Encephalitis state of an illness, when 5.5, and specificity 83.9% holds the investigation such as chrysanthemum virtue hair
Existing, the best cutoff value of PEWS is 2.5 points, and area is 0.849 under ROC curve, susceptibility 92.9%, specificity 79.3%,
Youden index is 0.722, and the probability that score value >=2.5 timesharing infants move in children intensive care unit significantly increases, and result is
PEWS score value can shunt infant for emergency medical workers and provide reference, and Partial Hospitals are by children's early warning points-scoring system application
To the previewing triage of youngster's medical emergency, the disease observation of ER Observation Room, child infusion room disease observation in, it is intended to raising comment
The accuracy divided improves the degree of association — that is, susceptibility of score value and state of an illness severe degree.
Traditional children's early warning grade form children's emergency triage method lacks the side assessed according to children's body temperature
Formula, while traditional children's early warning grade form children's emergency triage method formulates difference not according to upgrowth and development of children by stages
Early warning grade form, cause early warning grade form to lack the preciseness of science, and commented only according to primary early warning
Accurately measurement assessment result can not be obtained by dividing.Therefore, a kind of improvement children's early warning scoring is proposed regarding to the issue above
Table children's emergency triage method.
Summary of the invention
The object of the invention is that providing a kind of improvement children early warning grade form to solve the above-mentioned problems
Virgin emergency triage method.
The present invention is achieved through the following technical solutions above-mentioned purpose, and a kind of improvement children early warning grade form children are anxious
It examines and point examines method, 1. children's emergency triage methods include the following steps:
Step 1: scoring orientation: pressing 0-3 according to intensity of anomaly in terms of breathing, angiocarpy, consciousness of behavior and body temperature four
Divide and scores；
Step 2: formulating early warning grade form: formulating different early warning grade forms by stages according to upgrowth and development of children；
Step 3: symptomatic diagnosis: pediatrician is observed the consciousness of behavior of children by way of asked questions and by existing
Some Medical Devices detect the breathing of children, angiocarpy and body temperature and obtain diagnostic data as a result, diagnostic result is remembered
Record fills in place in grade form correspondence；
Step 4: assessment: using measurement assessment again, taking its average value.
Preferably, it in the step 1, (1) breathing: is suffered a shock, pain, heart failure, respiratory tract infection and drug use
Equal clinical states influence；(2) cardiovascular: it is cardiovascular closely related with tissue oxygenation reduction, it is the early stage of multiple organ failure
Process, so as to assess microcirculating state；(3) consciousness of behavior: Cerebral Injury, whole body or localized disease can be to nerves
System function has an impact；(4) body temperature: whether there is or not inflammatory pyrogens in main human's body.
Preferably, in the step 2 according to upgrowth and development of children respectively 1 to 2 month, 3 to April, 5 to June, 6 to August,
1 year old and 2 to 3 years old six stages formulated different early warning grade forms, upgrowth and development of children by stages frequency according to early stage youngster
The division that virgin development condition carries out science is formulated.
Preferably, in the step 3 breathing, cardiovascular, consciousness of behavior and body temperature all in accordance with diagnostic result 0 point, 1 point,
2 points and 3 points respectively correspond to following filling in and record symptom information at column.
Preferably, breathing diagnoses before children do not take drugs through Medical Devices in the step 3.
The beneficial effects of the present invention are: the assessment to body temperature is increased in the present invention on the basis of Traditional measurements method,
Can more acurrate identification infant state of an illness severe degree, while propose formulate different early warnings by stages according to upgrowth and development of children
Grade form is avoided because of children age Different Effects appraisal result, and the children of different age group are scored using different early warnings
Table is more scientific, is assessed using measurement again, takes its average value, to more preferably reflect infant state of an illness actual state, improves PEWS and exists
Susceptibility in emergency treatment previewing triage.
Detailed description of the invention
Fig. 1 is flow chart of the method for the present invention.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other
Embodiment shall fall within the protection scope of the present invention.
Embodiment one:
A kind of improvement children early warning grade form children's emergency triage method, children's emergency triage method include such as
Lower step:
Step 1: scoring orientation: pressing 0-3 according to intensity of anomaly in terms of breathing, angiocarpy, consciousness of behavior and body temperature four
Divide and scores；
Step 2: formulating early warning grade form: formulating different early warning grade forms by stages according to upgrowth and development of children；
Step 3: symptomatic diagnosis: pediatrician is observed the consciousness of behavior of children by way of asked questions and by existing
Some Medical Devices detect the breathing of children, angiocarpy and body temperature and obtain diagnostic data as a result, diagnostic result is remembered
Record fills in place in grade form correspondence；
Step 4: assessment: using measurement assessment again, taking its average value.
Further, it in the step 1, (1) breathing: is suffered a shock, pain, heart failure, respiratory tract infection and drug make
It is influenced with equal clinical states；(2) cardiovascular: it is cardiovascular closely related with tissue oxygenation reduction, it is the morning of multiple organ failure
Phase process, so as to assess microcirculating state；(3) consciousness of behavior: Cerebral Injury, whole body or localized disease can be to minds
It is had an impact through system function；(4) body temperature: whether there is or not inflammatory pyrogens in main human's body.
Further, in the step 2 according to upgrowth and development of children respectively in January, March, May, June, 1 years old and 2 years old
Six stages formulate different early warning grade forms, and frequency carries out upgrowth and development of children according to early stage child development situation by stages
The division of science is formulated.
Further, in the step 3 breathing, cardiovascular, consciousness of behavior and body temperature all in accordance with diagnostic result in 0 point, 1
Point, 2 points and 3 points respectively correspond to following filling in and record symptom information at column.
Further, breathing diagnoses before children do not take drugs through Medical Devices in the step 3.
Further, pediatrician carries out tentatively cardiovascular status by observation children's colour of skin degree in the step 3
Diagnosis, collaboration Medical Devices detection are diagnosed in detail.
Further, children's body temperature point early, middle and late three periods carry out in the step 3, and analyze children one day
The variation of body temperature.
Further, by the breathing of multiple measurement assessment, the scoring of angiocarpy, consciousness of behavior and body temperature in the step 4
It corresponds to be added together respectively and be averaged as last assessment point, and segment record between multiple measurements assessment is understood.
Further, measurement assessment data correspond to children's period stage of development again in the step 4.
Further, the different early warning grade forms chosen child development different phase period in the step 4 carry out pair
Than analysis, health status of children during growing can be recognized.
Above-mentioned children's emergency triage method increases the assessment to body temperature on the basis of Traditional measurements method, can be more quasi-
Really identification infant state of an illness severe degree, while proposing to formulate different early warning grade forms by stages according to upgrowth and development of children,
It avoids because of children age Different Effects appraisal result, the children of different age group use different early warning grade form more sections
It learns.
Embodiment two:
A kind of improvement children early warning grade form children's emergency triage method, children's emergency triage method include such as
Lower step:
Step 1: scoring orientation: pressing 0-3 according to intensity of anomaly in terms of breathing, angiocarpy, consciousness of behavior and body temperature four
Divide and scores；
Step 2: formulating early warning grade form: formulating different early warning grade forms by stages according to upgrowth and development of children；
Step 3: symptomatic diagnosis: pediatrician is observed the consciousness of behavior of children by way of asked questions and by existing
Some Medical Devices detect the breathing of children, angiocarpy and body temperature and obtain diagnostic data as a result, diagnostic result is remembered
Record fills in place in grade form correspondence；
Step 4: assessment: using measurement assessment again, taking its average value.
Further, it in the step 1, (1) breathing: is suffered a shock, pain, heart failure, respiratory tract infection and drug make
It is influenced with equal clinical states；(2) cardiovascular: it is cardiovascular closely related with tissue oxygenation reduction, it is the morning of multiple organ failure
Phase process, so as to assess microcirculating state；(3) consciousness of behavior: Cerebral Injury, whole body or localized disease can be to minds
It is had an impact through system function；(4) body temperature: whether there is or not inflammatory pyrogens in main human's body.
Further, in the step 2 according to upgrowth and development of children respectively 2 months, April, June, August, 1 years old and 3 years old
Six stages formulate different early warning grade forms, and frequency carries out upgrowth and development of children according to early stage child development situation by stages
The division of science is formulated.
Further, in the step 3 breathing, cardiovascular, consciousness of behavior and body temperature all in accordance with diagnostic result in 0 point, 1
Point, 2 points and 3 points respectively correspond to following filling in and record symptom information at column.
Further, breathing diagnoses before children do not take drugs through Medical Devices in the step 3.
Further, pediatrician carries out tentatively cardiovascular status by observation children's colour of skin degree in the step 3
Diagnosis, collaboration Medical Devices detection are diagnosed in detail.
Further, children's body temperature point early, middle and late three periods carry out in the step 3, and analyze children one day
The variation of body temperature.
Further, by the breathing of multiple measurement assessment, the scoring of angiocarpy, consciousness of behavior and body temperature in the step 4
It corresponds to be added together respectively and be averaged as last assessment point, and segment record between multiple measurements assessment is understood.
Further, measurement assessment data correspond to children's period stage of development again in the step 4.
Further, the different early warning grade forms chosen child development different phase period in the step 4 carry out pair
Than analysis, health status of children during growing can be recognized.
Above-mentioned children's emergency triage method takes its average value, using measurement assessment again to more preferably reflect the infant state of an illness
Actual state improves susceptibility of the PEWS in emergency treatment previewing triage.
It is obvious to a person skilled in the art that invention is not limited to the details of the above exemplary embodiments, Er Qie
In the case where without departing substantially from spirit or essential attributes of the invention, the present invention can be realized in other specific forms.Therefore, no matter
From the point of view of which point, the present embodiments are to be considered as illustrative and not restrictive, and the scope of the present invention is by appended power
Benefit requires rather than above description limits, it is intended that all by what is fallen within the meaning and scope of the equivalent elements of the claims
Variation is included within the present invention.Any reference signs in the claims should not be construed as limiting the involved claims.
In addition, it should be understood that although this specification is described in terms of embodiments, but not each embodiment is only wrapped
Containing an independent technical solution, this description of the specification is merely for the sake of clarity, and those skilled in the art should
It considers the specification as a whole, the technical solutions in the various embodiments may also be suitably combined, forms those skilled in the art
The other embodiments being understood that.
Claims (10)
1. a kind of improvement children early warning grade form children's emergency triage method, it is characterised in that: children's emergency triage
Method includes the following steps:
Step 1: scoring orientation: from breathing, angiocarpy, consciousness of behavior and body temperature four in terms of according to intensity of anomaly by 0-3 divide into
Row scoring；
Step 2: formulating early warning grade form: formulating different early warning grade forms by stages according to upgrowth and development of children；
Step 3: symptomatic diagnosis: pediatrician is observed the consciousness of behavior of children by way of asked questions and by existing
Medical Devices detect the breathing of children, angiocarpy and body temperature and obtain diagnostic data as a result, diagnostic result is recorded in
Grade form correspondence fills in place；
Step 4: assessment: using measurement assessment again, taking its average value.
2. a kind of improvement children early warning grade form children's emergency triage method according to claim 1, feature exist
In: in the step 1, (1) breathing: suffered a shock, the clinical states shadow such as pain, heart failure, respiratory tract infection and drug use
It rings；(2) cardiovascular: it is cardiovascular closely related with tissue oxygenation reduction, it is the early process of multiple organ failure, so as to right
Microcirculating state is assessed；(3) consciousness of behavior: Cerebral Injury, whole body or localized disease can generate nervous function
It influences；(4) body temperature: whether there is or not inflammatory pyrogens in main human's body.
3. a kind of improvement children early warning grade form children's emergency triage method according to claim 1, feature exist
In: according to upgrowth and development of children respectively 1 to 2 month, 3 to April, 5 to June, 6 to August, 1 years old and 2 to 3 years old in the step 2
Six stages formulate different early warning grade forms, upgrowth and development of children by stages frequency according to early stage child development situation into
The division of row science is formulated.
4. a kind of improvement children early warning grade form children's emergency triage method according to claim 1, feature exist
In: breathing, cardiovascular, consciousness of behavior and body temperature are respective at 0 point, 1 point, 2 points and 3 points all in accordance with diagnostic result in the step 3
Symptom information is recorded in corresponding following filling at column.
5. a kind of improvement children early warning grade form children's emergency triage method according to claim 1, feature exist
In: breathing diagnoses before children do not take drugs through Medical Devices in the step 3.
6. a kind of improvement children early warning grade form children's emergency triage method according to claim 1, feature exist
In: pediatrician carries out tentative diagnosis, collaboration medical treatment to cardiovascular status by observation children's colour of skin degree in the step 3
Equipment detection is diagnosed in detail.
7. a kind of improvement children early warning grade form children's emergency triage method according to claim 1, feature exist
In: children's body temperature point early, middle and late three periods carry out in the step 3, and analyze the variation of one day body temperature of children.
8. a kind of improvement children early warning grade form children's emergency triage method according to claim 1, feature exist
In: the breathing of multiple measurement assessment, the scoring of angiocarpy, consciousness of behavior and body temperature are corresponded add respectively in the step 4
It is averaged together as last assessment point, and segment record between multiple measurements assessment is understood.
9. a kind of improvement children early warning grade form children's emergency triage method according to claim 1, feature exist
In: measurement assessment data correspond to children's period stage of development again in the step 4.
10. a kind of improvement children early warning grade form children's emergency triage method according to claim 1, feature exist
In: the different early warning grade forms for choosing child development different phase period in the step 4 compare and analyze, can be much of that
Solve health status of children during growing.
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Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20120254245A1 (en) * | 2011-03-31 | 2012-10-04 | Tibco Software Inc. | Relational database joins for inexact matching |
| CN107088058A (en) * | 2017-05-27 | 2017-08-25 | 广州市家佑医疗科技有限公司 | Body temperature, heart rate appraisal procedure and health evaluating method, device, system |
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- 2019-07-26 CN CN201910684328.2A patent/CN110444290A/en active Pending
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20120254245A1 (en) * | 2011-03-31 | 2012-10-04 | Tibco Software Inc. | Relational database joins for inexact matching |
| CN107088058A (en) * | 2017-05-27 | 2017-08-25 | 广州市家佑医疗科技有限公司 | Body temperature, heart rate appraisal procedure and health evaluating method, device, system |
Non-Patent Citations (2)
| Title |
|---|
| 朱雪凤等: "改良儿童早期预警评分在急诊预检分诊中的应用", 《上海护理》 * |
| 李秀芳等: "改良儿童早期预警评分在急诊预检分诊中的应用", 《中国继续医学教育》 * |
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Application publication date: 20191112 |