Application of Critical Case Score in the Management of Children with Mycoplasma Pneumoniae Pneumonia
Objectives To explore the application of critical case score in the management of children with mycoplasma pneumoniae pneumonia,so as to provide evidence for improving the quality of clinical management of children with mycoplasma pneumoniae pneumonia.Methods A total of 139 children with severe MPP admitted to our hospital from April 1st,2020 to April 30th,2022 were selected.According to the admission time of the children,63 children admitted from April 1st,2020 to March 31st,2021 were selected as the control group,and 76 children admitted from April 1st,2021 to April 30th,2022 were selected as the observation group.The control group took routine disease management measures,and the observation group gave disease management measures under PICS grading on the basis of the control group.The disappearance time of symptoms and signs,changes of pulmonary function indicators before and after treatment,and the satisfaction of parents on the treatment management of the disease were compared between the two groups.Results The cough,rale,dyspnea and antipyretic time of children in the observation group were significantly shorter than those in the control group[(7.95±1.63)d vs.(9.82±1.84)d;(4.18±0.83)d vs.(5.47±1.10)d;(2.64±0.72)d vs.(3.81±0.80)d;(4.37±1.15)d vs.(5.21±1.73)d](P＜0.05).Before treatment,there was no significant difference between the two groups in the pulmonary function indicators FEV1,PEF and FVE(P＞0.05).After 2 weeks of treatment,the pulmonary function indicators FEV1,PEF and FVE in the two groups were significantly higher than those before treatment(P＜0.05),and after treatment,the pulmonary function indicators FEV1,PEF and FVE in the observation group were significantly higher than those in the control group[(1.74±0.41)L vs.(1.52±0.33)L;(2.87±0.85)L/mim vs.(2.43±0.76)L/mim;(1.89±0.37)L vs.(1.64±0.45)L](P＜0.05).The satisfaction of parents in the observation group was significantly higher than that in the control group(97.37%vs.85.71%)(P＜0.05).Conclusions Hierarchical management strategy based on PICS scoring system was helpful to the management of severe mycoplasma pneumoniae pneumonia in children,shorten the course of disease,improve the pulmonary function of children,and significantly improve the satisfaction of parents with treatment,which was worthy of clinical promotion.
Child critical case scoreMycoplasma pneumoniae pneumoniaDisease management
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