摘要
目的探讨应用改良早期预警(MEWS)评分指导急性脑血管意外院前急救的临床价值。方法将院前急救中临床诊断为急性脑血管意外的患者分为常规病情评估急救组(对照组)和进行现场MEWS评分指导急救组(实验组),并比较两组患者的病死率及好转出院率。结果对照组病死率为17.23%,好转出院率为82.77%;实验组病死率为8.76%,好转出院率为91.24%。两组比较,差异有统计学意义(P<0.05)。结论急性脑血管意外患者院前应用MEWS评分进行病情评估和指导急救,能降低患者的病死率及提高好转出院率,具有较好的应用价值,值得在院前脑血管意外急救中推广应用。
Objective This paper discusses the clinical value of applying modified early warning score （MEWS） to score and guid pre-hospital care for acute cerebrovascular accident. Methods Divide the patients in pre-hospital care who are clinically diagnosed with acute cerebrovascular accident into two groups： routine severity evaluation emergency group （control group） and MEWS scoring and guiding emergency group（experimental group）. Compare the mortality rate and improvement and hospital discharge rate. Results The mortality rate of control group is 17.23%, and the improvement and hospital discharge rate is 82.77% ,while the mortality rate of experimental group is 8.76% ,and the improvement and hospital discharge rate is 91.24%. Comparing the results of two groups above,the difference had statistical significance（P〈0.05）. Conclusion Applying MEWS to evaluate severity and guide emergency for patients with acute cerebrovascular accident in pre-hospital care will reduce mortality rate and improve the improvement and hospital discharge rate. MEWS is of great application value, and it can be widely promoted and applied in pre-hospital acute cerebrovascular accident.
出处
《蛇志》
2011年第2期135-136,140,共3页
Journal of Snake
关键词
改良早期预警(MEWS)评分
脑血管意外
院前急救
应用
价值
Modified early warning score （MEWS）
Acute eerebrovascular accident
Pre-hos pital care
Application
Value
