儿科虚弱的截止值 诊断儿科虚弱的诊断尺度
Tae Hwan Kim1, Han Chae2, Juhui Han3
1Department of Korean Pediatrics, College of Korean Medicine, Kyung Hee University, Kyung Hee University Medical Center, Seoul 02447, Republic of Korea.
Journal of integrative medicine
|November 23, 2025
概括
这项研究确定了儿科虚弱度表 (PWS) 的切线值,以帮助诊断儿童的儿科虚弱. 这些新的PWS截止值可以更好地评估经常患有轻微疾病的儿童的弱点.
科学领域:
- 综合医学是一个整体的医学.
- 儿科 儿科 儿科
- 韩国传统医学 韩国传统医学
背景情况:
- 经常出现轻微疾病,疲劳和食欲不佳的儿童在韩国传统医学中被诊断为软弱.
- 儿科软弱量表 (PWS) 已被验证用于评估儿科软弱,但缺乏标准化的切断值.
- 确定可靠的切断值对于准确诊断和治疗儿科虚弱至关重要.
研究的目的:
- 开发和验证儿科软弱量表 (PWS) 的切线值.
- 为了提高 PWS 对儿科软弱的诊断准确度.
- 提供一个标准化工具来评估儿童的弱点.
主要方法:
- 一项针对6-9岁儿童的家长进行的调查测量了PWS,疲劳,行为,饮食习惯,生长指数以及呼吸道感染的频率/持续时间.
- 使用Pearson或Spearman的相关性分析了PWS和其他措施之间的相关性.
- 接收器运行特征 (ROC) 曲线是基于内在理论来生成PWS子尺度的,以确定最大化Youden指数的切断值.
主要成果:
- 在PWS分级 (肝脏,心脏,脏,肺,脏) 和各种健康指标 (包括疲劳,行为,饮食习惯和呼吸道感染) 之间发现了显著的相关性.
- 在弱小和正常儿童之间观察到PWS子尺度的明显差异.
- 肝脏,心脏,脏,肺部和脏衰弱的验证截止值分别为4.50,7.50,4.50,4.50和4.50,具有高灵敏度 (高达84.6%) 和特异性 (高达82.5%).
结论:
- 对于PWS来说,衍生出的截止值为诊断和评估儿科弱点提供了有价值的工具.
- 这些标准化的切断值将改善PWS在整合性韩国传统医学中的临床应用.
- 该研究成功地建立了使用PWS的儿科虚弱的可靠诊断标准.
相关概念视频
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
196
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
196
01:29Drug Dosing: Infants and Children
235
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
235
01:17Pulse amplitude and quality
2.9K
Pulse amplitude is a crucial indicator of cardiac health because it provides valuable insights into the strength of left ventricular contractions and the overall uniformity of blood circulation within the vasculature. The strength of the pulse is directly related to the force with which the heart contracts and the volume of blood being pumped.
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
2.9K
01:24Pharmacokinetics in Pediatric Patients: Drug Metabolism
179
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
179