河南科技大学学报(医学版)2016,Vol.36Issue(3):199-201,205,4.DOI:10.15926/j.cnki.issn1672-688x.2016.03.012
多准则决策分析构建儿童重症麻疹集束化管理的研究
Effect of Multi-criteria Decision Analysis to Construct Bundle Treatment of Severe Measles in Children
摘要
Abstract
Objective To discuss the effect of multi-criteria decision analysis in the bundle treatment of severe measles in children. Methods In the prospective observational and historical control study,twenty children with severe measles from June 201 1 to December 2013 were set as control group,and twenty-five children with severe measles from January 2014 to October 2015 were assigned as observation group to receive multi-criteria decision analysis (MCDA ) managed by health care professionals for bundle treatment plus conventional therapy.Comparison the differences of pediatric clinical illness score (PCIS)before treatment , rate of endotracheal intubation during treatment,multiple organ dysfunction syndrome(MODS)incidence and respiratory intensive care unit(RICU)stay were performed between the two groups. Results PCIS score before treatment of the observation group and the control group was not statistically significant (P >0.05), but the rate of endotracheal intubation during treatment (45.00% VS 12.00%,P =0.032 ),MODS incidence (40.00% VS 8.00%,P =0.027),duration of ICU stay [(17.92 ±4.79)d VS (14.48 ±3.98) d,P =0.012]was significantly decreased compared with the control group (P <0.05 ). Conclusion Application of multi-criteria decision analysis in the bundle treatment of severe measles in children could improve the scientificity of decision and reduce the rate of endotracheal intubation during treatment,MODS incidence and ICU length of stay.Therefore,MCDA is worthy to be popularized to improve the clinical outcome and prognosis of the severe measles in children.关键词
多准则决策分析/重症麻疹/呼吸重症监护Key words
multi-criteria decision analysis/severe measles/respiratory care units分类
医药卫生引用本文复制引用
王月云,王骥..多准则决策分析构建儿童重症麻疹集束化管理的研究[J].河南科技大学学报(医学版),2016,36(3):199-201,205,4.基金项目
国家自然科学基金 ()