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目的探讨简易重症手足口病评分标准,为临床医师早期评估病情提供依据。方法选择福建省妇幼保健院2009年危重症手足口病例,并选择部分轻症病例作为对照。参照相关资料制定简易重症手足口病评分标准并对病例进行评分。用ROC曲线对评分标准的诊断价值进行评价。结果重症病例评分≤80分有14例(87.5%),轻症病例评分>80分有117例(69.7%)。重症病例的ROC曲线下面积为0.885。以≤80分定义为重症,其敏感性为0.875,特异性为0.697,约登指数为0.572。结论简易重症手足口病评分标准可早期量化评估病情严重程度,为手足口病分级诊治提供依据。
Objective To investigate the criteria of simple and severe hand-foot-mouth disease (MDO-HFMD) and provide the basis for clinicians to evaluate the disease early. Methods Selected MCH cases of critical illness in 2009 in MCH hospital of Fujian Province and selected mild cases as control. Reference to relevant information to develop simple and severe hand-foot-mouth disease score and score the case. The ROC curve was used to evaluate the diagnostic value of the scoring criteria. Results Severe cases score ≤ 80 points in 14 cases (87.5%), mild cases score> 80 points in 117 cases (69.7%). The area under the ROC curve for critically ill patients was 0.885. To ≤ 80 points defined as severe, the sensitivity of 0.875, specificity of 0.697, Youden index of 0.572. Conclusions The criteria of simple severe hand-foot-mouth disease can be quantified early to assess the severity of the disease and provide the basis for the diagnosis and treatment of hand-foot-mouth disease.