改良早期预警评分、改良创伤评分对急诊ICU重症创伤患者临床疗效及预后的评价

Evaluation of clinical efficacy and prognosis of modified early warning score(MEWS)and revised trauma score(RTS)in emergency ICU patients with severe trauma

目的探讨比较改良早期预警评分(MEWS)与改良创伤评分(RTS)对急诊重症监护病房(ICU)重症创伤患者临床疗效及预后的评价效果。方法选取该院2014年12月-2017年12月1000例创伤患者进行研究,患者入院后进行MEWS、RTS评分,分为MEWS评分组和RTS评分组各500例,急救处理后,对两组患者的急救成功率、并发症、生活质量及死亡率进行比较。结果MEWS评分组患者急救成功率(90.0%)明显高于RTS评分组患者(70.0%),差异具有统计学意义(P<0.05);MEWS评分组患者并发症发生率和死亡率明显低于RTS评分组,差异具有统计学意义(P<0.05);MEWS评分组生活质量评分明显高于RTS评分组,差异具有统计学意义(P<0.05)。结论MEWS、RTS评分可以评估急诊ICU重症创伤患者临床疗效及预后,并为急救处理提供一定参考。

【Objective】To evaluate the clinical efficacy and prognosis of emergency ICU patients with severe trauma by comparing modified early warning score(MEWS)and revised trauma score(RTS).【Methods】From December 2014 to December 2017,1000 trauma patients in our hospital were selected and the patients were evaluated with MEWS/RTS after admission.The patients were divided into MEWS group and RTS group(n=500).After emergency treatment,the success rate,complications,quality of life and mortality of the two groups were compared.【Results】The success rate of first aid in MEWS group was significantly higher than that in RTS group(P<0.05).The incidence of complications and mortality of MEWS group were significantly lower than those in RTS group(P<0.05).The quality of life score of MEWS group was significantly higher than that of RTS group(P<0.05).【Conclusion】MEWS,RTS can evaluate the clinical efficacy and prognosis of emergency ICU patients with severe trauma,and provide some reference for emergency treatment.