改良早期预警评分系统应用于老年病房的价值研究

Value study of modified early warning score system in geriatric wards

目的探讨改良早期预警评分(MEWS)系统应用于综合科老年病房的价值。方法选择我院综合科老年病房2015年6月至2016年12月收治的老年住院患者110例作为研究对象,均采用MEWS系统进行评估,观察改良早期预警评分对患者病情的敏感性,根据患者是否痊愈分为痊愈组及有效组,并再次比较两组评估指标。结果 110例患者无死亡病例,痊愈47例,有效63例。其中,痊愈组47例患者体温、收缩压比较差异无统计学意义(P> 0. 05);有效组呼吸频率和心率均高于痊愈组,两组比较差异有统计学意义(P <0. 05)。结论 MEWS系统应用于老年病房,能够预测患者病情,具有较高的临床价值。

Objective To explore the value of modified arly warning score （MEWS） system in comprehensive geriatric wards. Methods To select 110 cases of elderly hospitalized patients admitted to our hospital from June 2015 to December 2016 as research subjects, and they were evaluated by the MEWS system. The effect of MEWS on the sensitivity of patient＇ s condition were observed. According to whether the patients recovered fully, they were di- vided into healing group and effective group. The evaluation indicators of the two groups were compared. Results There were no deaths in the 110 patients ,among which 47 patients were cured and 63 patients had effect. Among the 47 healing patients, there were no significant differences in body tempera- ture and systolic blood pressure（P 〉 0.05）. The respiratory rate and heart rate in the effective group were higher than those in the healing group, and the difference was statistically significant（P 〈 0.05）. Conclusion Applying the MEWS system to the geriatric ward can predict the patient＇s condition, and has higher clinical value.