改良早期预警评分在评估急诊外科患者病情及预后中的作用

陈华; 刘海华; 张晓毳; 单爱军

doi:10.13201/j.issn.1009-5918.2015.03.008

改良早期预警评分在评估急诊外科患者病情及预后中的作用

- 暨南大学第二临床医学院深圳市人民医院急诊科(深圳, 518020)

详细信息

通讯作者: 陈华,E-mail:chenhua88@163.com

中图分类号: R197.3

收稿日期: 2014-11-26

The effect of modified early warning scoring system in discriminating diseases and evaluating prognosis in emergency surgical patients

- Department of Emergency, The Second Clinical Medical College Of Jinan University, Shenzhen People`s Hospital, Shenzhen 518020, China

More Information

Corresponding author: CHEN Hua, E-mail: chenhua88@163.com

Received Date: 26 November 2014

摘要

摘要: 目的：研究改良早期预警评分（MEWS）在对急诊外科患者进行病情分层和预后评估中的价值。方法：对在急诊外科就诊的患者进行MEWS评分，统计分析不同评分区间患者的救治去向和急诊病死率，分析老年患者和中青年患者、正常血氧饱和度和血氧饱和度降低的患者之间MEWS评分的差异。结果：在603例外科急症患者中，随着MEWS评分的增加，需要住院治疗和在ICU治疗的患者以及急诊病死率均显著上升（P<0.01），老年患者和中青年患者之间的MEWS评分差异无统计学意义，血氧饱和度<95%的患者的MEWS评分明显高于血氧饱和度 ≥ 95%的患者的MEWS评分（P<0.01）。结论：MEWS评分（>6分）与患者的病情严重程度存在正相关性，是一种简单有效的评分系统，可以用于在急诊外科就诊的患者的病情判断和预后评估。
- 改良早期预警评分 /
- 急诊外科患者 /
- 病情评估
Abstract: Objective: To investigate the role of MEWS (modified early warning scoring system) in disease stratification and prognosis evaluation of emergency surgical patients.Method: MEWS scores were calculated in emergency surgical patients.The admission rate and emergency mortality rate with different MEWS scores were statistically analyzed.Differences of MEWS scores were evaluated between aged and young patients,as well as patients with normal peripheral blood oxygen saturation (≥ 95%) and decreased blood oxygen saturation(<95%).Result: 603 cases of patients were enrolled in this study.The admission rate (both in HDU and ICU) and emergency mortality rate increased significantly in patients with high MEWS scores compared with patients with low MEWS scores(P<0.01).No obvious differences of MEWS scores were found between aged and young patients (P>0.05).The MEWS scores in patients with decreased blood oxygen saturation(<95%) were obviously raised than that in the patients with normal peripheral blood oxygen saturation (≥ 95%) (P<0.001).Conclusion: A positive correlation exists between higher MEWS scores (>6 points) and severity of the disease.MEWS maybe serve as a simple and effective system in evaluation of disease stratification and prognosis for emergency surgical patients.
- modified early warning scoring system /
- emergency surgical patients /
- prognosis evaluation

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