系统性免疫炎症指数与儿科尾炎得分相结合,评估儿科尾炎的严重程度和预后
Li-Ming Guo1, Zhi-Hui Jiang2, Hong-Zhen Liu3,4
1Department of General Surgery, Qingdao Women and Children's Hospital, Qingdao 266000, Shandong Province, China. guolimingqdfe@163.com.
综合的全身免疫炎症指数 (SII) 和儿科尾炎得分 (PAS) 有效预测尾炎儿童的疾病严重程度和外科治疗结果. 这种组合模型有助于为儿科尾炎管理做出临床决策.
科学领域:
- 儿科手术 儿科手术
- 炎症标记物 炎症标记物
- 诊断的准确性 诊断的准确性
背景情况:
- 儿科尾炎是儿童腹痛的常见原因,造成手术紧急情况.
- 及时诊断至关重要,以避免诸如穿孔和腹膜炎之类的并发症.
研究的目的:
- 评估系统性免疫炎症指数 (SII) 与儿科尾炎得分 (PAS) 的预测能力,以评估尾炎的严重程度和手术结果.
- 调查SII和PAS组合模型在5岁及以上儿童中的实用性.
主要方法:
- 对104名被诊断患有急性尾炎的儿童的临床数据的分析.
- 分类为急性与慢性尾炎以及良好的与不良的预后组.
- 测量SII和PAS,然后构建一个共同的预测模型.
主要成果:
- 在急性和慢性尾炎组之间注意到SII和PAS的显著差异.
- 结合的SII和PAS模型显示了疾病严重程度 (AUC = 0.914) 和手术结果 (AUC = 0.857) 的强有力的预测值.
- 相关性证实了SII,PAS和疾病严重程度之间的关联.
结论:
- 将SII与PAS整合在一起,有望评估儿科尾炎的严重程度和预测结果.
- 结合SII和PAS模型为儿童尾炎的决策和优化手术策略提供了临床实用性.
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