迈向以证据为基础的生命体征参考范围:从英国儿科医院的出院数据中得出的百度图表
Nicky Taylor1, Petra Wark2, Jane Coad3,4
1Nottingham Children's Hospital, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Nursing in critical care
|February 18, 2026
概括
医院出院儿童的新生命体征图表显示,目前的参考范围可能不准确. 这项研究开发了英国儿科患者的呼吸率,心率和血压的特定年龄的百分位图表.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 临床生理学 临床生理学
- 医疗信息学 医疗信息学
背景情况:
- 对于住院儿科患者可接受的生命体征缺乏共识.
- 需要可靠的参考范围,用于儿科护理的临床决策.
研究的目的:
- 在医院出院时,制定特定年龄的呼吸率,心率和缩血压的百分位图表.
- 评估新图表与现有的国际儿科生命体征参考范围的调整.
主要方法:
- 在英国一家三级儿科医院 (2014-2019) 进行的横截面研究.
- 使用了从66356例儿科住院患者 (0-19岁) 定期收集的生命体征数据.
- 使用Quantile限制立方线回归生成的百分位图表.
主要成果:
- 新的百分位图表显示了出院时的儿科生命体征.
- 现有的先进儿科生命支持 (APLS) 对呼吸速率和血压的参考范围与衍生的百分点差异不大.
- 心率百分位数对齐很好,但与其他临床参考范围存在显著差异,特别是在上百分位数.
结论:
- 这项研究首次描述了来自英国儿童医院的儿科生理观察和百分点图表.
- 目前广泛使用的生命体征参考范围可能不足以评估儿科患者,因此需要更新临床指南.
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