MEWS系统在突发性脑出血急诊救治中的应用

Application of MEWS system in paroxysmal cerebral hemorrhage in emergency department

目的探讨改良早期预警评分(MEWS)系统在突发性脑出血急诊救治中的应用价值及可行性。方法对60例突发性脑出血患者治疗前采用MEWS系统评分,≥5分的32例为观察组,<5分的28例为对照组。2组均进行综合治疗,观察2组患者的脑出血量、MEWS评分、神经功能恢复情况及并发症等指标。结果观察组脑出血量低于对照组(P<0.01);观察组总有效率高于对照组(P<0.01);观察组并发症发生率及住院时间均显著低于对照组(P<0.05或P<0.01),观察组死亡率低于对照组,但差异无统计学意义。结论 MEWS评分系统在急诊救治突发性脑出血中方法简单、可操作性强,能够降低患者预后风险,可作为院前急救的有效工具,有较强的临床应用价值。

Objective To discuss the value and feasibility of modified early warning score （MEWS） system in paroxysmal cerebral hemorrhage in emergency department. Methods Sixty pa- tients with paroxysmal cerebral hemorrhage received MEWS system scoring before treatment. 32 patients with scores ≥5 points were assigned to observation group, while 28 patients with scores 〈 5 were assigned to control group. Both groups received comprehensive treatment, and the cerebral hemorrhage quantity, MEWS scoring, recovery condition of nerve function and complications of two groups were observed. Results The cerebral hemorrhage quantity in the observation group was ob- viously smaller than that in the control group （P〈 0.01 ）. The overall response rate in the observa- tion group was obviously higher than that in the control group （P 〈 0.01 ）. The incidence of com- plications and length of stay in the observation group were obviously lower than that in that control group （P〈0.05 or P〈0.01）. The mortality in the observation group was lower than that in the control group, but it was not statistically significant. Conclusion MEWS system is simple with strong operability in the treatment of paroxysmal cerebral hemorrhage in emergency department. It can reduce patients＇ prognosis risk and be used as an effective method of pre - hospital emergency care. Thus it has great clinical application value.