MEWS评分在急诊创伤患者预检分诊中的应用

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8-12月急诊创伤患者3212例为对照组，2016年1-5月急诊创伤患者3326例为观察组。对照组按常规的快速简伤分诊处理，观察组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MEWS0-4分的2996例分诊至急诊外科诊室，5—9分的384例分诊至抢救室，〉9分的36例分诊至复苏室。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 points, 36 eases to the recovery room 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.