英国早期预警评分结合休克指数在急性上消化道出血病人中的应用

Application of natonal early warming score combined with shock index for patients with acute upper gastrointestinal bleeding

[目的]探讨英国早期预警评分(NEWS)结合休克指数(SI)在急性上消化道出血病人中的应用效果。[方法]对急诊抢救室收治的108例急性上消化道出血病人进行NEWS评分结合SI分层联合把控,根据评分结果对病人进行相应的早期干预。[结果]108例急性上消化道出血病人预警前(2.11±2.17)分,预警后(1.58±1.83)分,预警前后比较差异有统计学意义(P<0.05);预警前SI评分(0.85±0.28)分,预警后(0.81±0.26)分,预警前后比较差异无统计学意义(P>0.05)。[结论]NEWS评分结合SI有利于及早识别急性上消化道出血病人的潜在风险,使病人能及时获得有效的临床干预。

Objective：To probe into the application effect of national early warning score（NEWS）combined with shock index（SI）for patients with acute upper gastrointestinal bleeding.Methods：A total of 108 patients with acute upper gastrointestinal bleeding in emergency resuscitation room received the NEWS scores combined with SI hierarchical joint contorl and the corresponding early interventions were carried out according to the score results.Results：The NEWS scores of 108 patients with acute upper gastrointestinal hemorrhage were 2.11±2.17 before warning,the NEWS scores were 1.58±1.83 after warning,the differences were statistically significant between before and after warning（P〈0.05）.And the SI scores of 108 patients with acute upper gatrointestinal hemorrhage were 0.85±0.28 before warning,the SI scores were 0.81±0.26 after warning,the differences had no statistically significance between before and after warning（P〉0.05）.Conclusion：NEWS score combined with SI was helpful for early identification of potential risks in patients with acute upper gastrointestinal bleeding,so that patients can get effective clinical intervention in time.