改良早期预警评分对不同年龄组男性危重创伤患者死亡的预测价值

The Predictive Value of Modified Early Warning Score for Different Age Groups Male Patients in Critically Ill Trauma Died

目的：观察和探讨改良早期预警评分（MEWS）对不同年龄组男性危重创伤患者死亡的预测价值。方法：随机抽取笔者所在医院2012年1月-2013年1月收治的200例男性危重创伤患者的临床资料进行回顾性分析，参照患者的年龄将其分为A组、B组、C组、D组4组，A组年龄为〈20岁；B组年龄为20~39岁，C组年龄为40~59岁，D组年龄为〉60岁，以患者入院ICU病房作为观察起点（30 d为一个观察时间段），在观察期间对患者的肾功能、尿常规、双肾B超等进行系统的检查和监测，并一一记录，并且记录患者改良早期预警评分以及动态变化，从而对患者疾病的变化情况进行准确的推断，以患者死亡或出院为观察终点。结果：A组与B组、C组、D组MEWS评分≥9分率比较差异有统计学意义（P〈0.05），B组与C组比较差异无统计学意义（P〉0.05）；D组与B组、C组比较差异有统计学意义（P〈0.05）。MEWS评分为0~4分的患者死亡率较低，其与评分为5~8分、≥9分者的死亡率比较差异有统计学意义（P〈0.05）。结论：改良早期预警评分可帮助医生对男性不同年龄组危重创伤患者MEWS评分给予相应的救治措施，进而优化医疗资源利用率，最大限度降低死亡率，改善预后，临床预测价值高，值得推广。

Objective：To observe and investigate improved early warning score（MEWS） for different age groups of male deaths in critically ill trauma patients predictive value.Method：Clinical data were randomly selected men critically ill trauma patients 200 cases admitted in the author hospital from January 2012 to January 2013 were retrospectively analyzed,with reference to the patient’s age were divided into group A,group B,group C,Group D four groups,group A aged〈20 years,group B age 20-39,age 40-59 years old group C,group D aged〉60 years,patients admitted to the ICU as a starting point observation（30 d for an observation period）,the patient’s renal function during the observation period,urine,kidneys B ultrasonic inspection and monitoring system were records,and recorded patients improved early warning scores and dynamic change,and thus the diseases the changes accurately infer,patient death or discharge for endpoint.Result：Group A with group B,group C,group D the cases of MEWS score ≥9 fraction were more significant differences（P〈0.05）, there was no significant difference in group B and group C（P〉0.05）,group D and group B,group C were significant difference（P〈0.05）.MEWS score lower mortality in patients with 0-4 points,with the score of 5-8 points,≥9 points the mortality differences were more significant（P〈0.05）.Conclusion：The modified early warning score can help doctors to men of different age groups of critically ill trauma patients referring their MEWS score giving the appropriate treatment measures to optimize the utilization of medical resources,to minimize mortality and improve prognosis,clinical prediction of high-value,worthy of promotion.