MEWS评分在急诊创伤患者预检分诊中的应用
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- 论文作者：邱亚云 ; 丁萍
- 年：2016
- 作者机构：江苏省泰州市第二人民医院;
- 论文关键词：改良早期预警评分系统 ; 急诊创伤 ; 预检分诊
- 会议召开时间：2016年6月
- 会议录名称：2016《中国组织化学与细胞化学》杂志临床研究研讨会论文汇编
- 语种：中文
- 分类号：R473
- 学会代码：ZHXB
- 会议名称：2016《中国组织化学与细胞化学》杂志临床研究研讨会
- 会议地点：中国北京
- 主办单位：《中国组织化学与细胞化学杂志》社有限公司
- 学会名称：《中国组织化学与细胞化学杂志》社有限公司
- 页数：1
- 文件大小：124k
- 原文格式：O
- 会议级别：全国
摘要
目的:探讨MEWS在急诊创伤患者预检分诊中的应用价值。方法:选取2015年8月至12月急诊创伤患者3212例为对照组,2016年1至5月急诊创伤患者3326例为观察组。对照组患者按常规的快速简伤分诊处理,观察组患者在快速简伤分诊的基础上结合MEWS评分系统,根据评分结果将病情进行分区分级管理,决定救治措施,比较两种分诊方法的准确率及分析患者转归和去向。结果:观察组MEWS 0-4分,2996例患者分诊至急诊外科诊室,MEWS 5-9分,384例患者患者分诊至抢救室,MEWS>9分,36例患者分诊至复苏室。观察组分诊准确率高于对照组(P<0.01),结论:MEWS将创伤患者病情进行分值,识别潜在危重患者,合理分流患者,实施紧急救治。
Objective:To explore the application value of MEWS in pre triage in the emergency trauma patients.Methods:from August 2015 to December in the emergency trauma patients 3212 cases as control group,2016 1 to May 3326 cases of emergency trauma patients as the observation group.The control group patients according to conventional triage fast Jane injury treatment,the observation group of patients Jane hurt in the fast triage combined with MEWS scoring system,according to the results of the score of illness zoning classification management,decision treatment,comparison of two accuracy rate and outcome analysis of patients with triage methods and whereabouts.Results:in the observation group,MEWS 0- 4,2996 cases of triage of patients to the emergency surgery consulting room,MEWS 5-9.384 Cases of patients with triage of patients to the resuscitation room,MEWS,9,36 patients were divided into observation group.Up to the recovery room triage accuracy rate was higher than the control group(P< 0.01).Conclusion:MEWS traumatic patients score,identify potential Critically ill patients,rational triage patients,the implementation of emergency treatment
Objective:To explore the application value of MEWS in pre triage in the emergency trauma patients.Methods:from August 2015 to December in the emergency trauma patients 3212 cases as control group,2016 1 to May 3326 cases of emergency trauma patients as the observation group.The control group patients according to conventional triage fast Jane injury treatment,the observation group of patients Jane hurt in the fast triage combined with MEWS scoring system,according to the results of the score of illness zoning classification management,decision treatment,comparison of two accuracy rate and outcome analysis of patients with triage methods and whereabouts.Results:in the observation group,MEWS 0- 4,2996 cases of triage of patients to the emergency surgery consulting room,MEWS 5-9.384 Cases of patients with triage of patients to the resuscitation room,MEWS,9,36 patients were divided into observation group.Up to the recovery room triage accuracy rate was higher than the control group(P< 0.01).Conclusion:MEWS traumatic patients score,identify potential Critically ill patients,rational triage patients,the implementation of emergency treatment
引文
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[2]Goldhill DR,McNarry AF,Mandersloot G,et al.A physiologicallybased early warning score for ward patients;the association between score and outcome[J].Anaesthesia,2005,60(6):547-553
[3]朱蓓,姜梅,王芝,等.改良早期预警评分在心脏科门诊预检分诊中的应用[J].护士进修杂志,2013,28(22):23-24
[4]7王金金,刁永云,倪元红,等.改良早期预警评分在急诊120患者分诊中的应用[J].护理学杂志,2013,28(9):11-12
[5]肖红丽,孙芳芳,齐海宇,等早期预警评分及其在临床应用进展[J].中国危重病急救学,2009,21(11):1428-1433