改良早期预警评分在危重孕产妇护理中的应用效果评价

Application of Modified Early Warning Scoring in critical care in obstetrics

目的探讨改良早期预警评分(Modified Early Warning Scoring,MEWS)在产科危重孕产妇护理中的应用。方法以2013年1—12月上海交通大学附属第六人民医院危重孕产妇抢救中心收治的100例危重孕产妇为对照组,由医师根据辅助检验及临床表现判断来处置患者并给予转诊分流;选取2014年1月—2015年3月100例危重孕产妇为观察组,通过应用MEWS,根据评分分数分诊患者并给予相对应的护理措施。结果观察组平均救治时间、产科急性事件发生率、重症监护室(intensive care unit,ICU)转入率及住院时间均低于对照组(P均<0.05)。结论将MEWS系统应用于产科危重分类救治,能有效缩短平均救治时间、降低产科急性事件发生率、缩短住院和治疗时间及ICU转入率。

Objective To explore the effect of Modified Early Warning Scoring（ MEWS） applied in critical care of pregnant women. Methods A total of 100 patients admitted to Shanghai Sixth People＇ s Hospital,Shanghai Jiao Tong University from January to December 2013 were set as controls. They were assigned by the doctors according to the clinical examination results and symptoms. Another 100 patients admitted from January2014 to March 2015 were enrolled in the observation group,and MEWS method was used to assign the patients.Results The average treatment time,the occurrence of emergency events,and the rate of intensive care unit（ ICU） admission in the obeservation group were significantly lower than those in the control group（ P 0. 05）.Conclusion The application of MEWS in assignment of critical patients in obstetrics could effectively reduce the average treatment time,the occurrence of emergency events and the rate of ICU admission.