MEWS+ABCD2评分在急诊脑卒中患者中的应用

Application of MEWS and ABCD2 Score in Emergency Stroke Patients

目的探讨MEWS+ABCD2评分在急诊脑卒中患者中的应用价值。方法采用历史对照研究,对照组480例使用MEWS评分进行分诊,试验组480例使用MEWS+ABCD2评分联合进行分诊,追踪患者的去向和30天预后。结果①对照组30天病死率、意外事件发生率均高于试验组,差异有统计学意义(P<0.05);②两组患者死亡组MEWS评分均显著高于存活组,差异有统计学意义(P<0.05);③两组患者均是评分越高、死亡率越高,不同分数段比较,差异有统计学意义(P<0.05);④对照组MEWS评分对危重患者鉴别的灵敏度为38.6%、特异度为88%,试验组MEWS+ABCD2评分对危重患者鉴别的灵敏度为66.28%、特异度为73.97%,试验组灵敏度高于对照组,差异有统计学意义(P<0.05)。结论MEWS+ABCD2评分能够更好地预测急诊脑卒中患者的病情和预后,具有较强的应用价值。

Objective To discuss value of MEWS and ABCD2 score in emergency stroke patients.Methods We used historical control study,480 cases of control group used MEWS to triage,480 cases of experimental group used MEWS and ABCD2 to triage,then tracked patients and prognosis in 30 days.Results①The differ⁃ence was statistically significant between experimental group and control group in 30-day mortality and inci⁃dence of accidents(P<0.05),control group was higher than the control group;②Death group MEWS score were significantly higher than survival group,the difference was statistically significant(P<0.05);③The higher the score,the higher the mortality,the difference was statistically significant in difference scale of two groups(P<0.05,④Sensitivity was 38.6%,specificity was 88%for severe stroke patients of MEWS of control group,Sensitiv⁃ity was 66.28%,specificity was 73.97%for severe stroke patients of MEWS and ABCD2 of experimental group,sensitivity in experimental group higher than control group,the difference was statistically significant(P<0.05).Conclusion MEWS score and ABCD2 score can better predict the condition and prognosis of the emergency stroke patients,and it has strong application value.