介入手术患者术中改良早期预警评分分布特征及其临床应用价值

The distribution characteristics of modified early warning score and its clinical application value in patients undergoing interventional surgery

目的探讨介入手术患者改良早期预警评分(MEWS)的分布特点及其临床应用价值。方法将2018年6-7月283例介入手术患者进行MEWS评分,观察并分析总结MEWS的分布特征及临床价值。结果介入MEWS可划分为0~2分、3~4分、5分及以上3个分值段,评分以0~2分为主,占63.25%,以不同分值段患者手术类型比较差异、不良反应情况比较差异、术中紧急处理比例比较差异、不同麻醉方式比较差异均具有统计学意义(P<0.01)。结论结合介入手术特点改良后的介入MEWS可以对介入手术患者术中病情进行即时有效评估,具有预测和降低术中各类潜在风险发生概率的作用,对于MEWS在5分及以上的术中患者,予以重点严密监护,采取预见性护理手段,积极采取应急处理措施,对保障介入手术的高效、安全、成功有重要的临床意义。

Objective To discuss the distribution characteristics of modified early warning score(MEWS) in patients undergoing interventional surgery,and to assess its clinical application value. Methods From June to July in 2018,MEWS measuring was conducted in a total of 283 patients undergoing interventional surgery. The distribution characteristics of MEWS and its clinical application value were summarized and analyzed. Results Based on the scores of interventional MEWS,the patients were divided into three groups:0-2 points group,3-4 points group and ≥5 points group. The MEWS of 0-2 points was most commonly seen,accounting for 63.25% of the total patients. Statistically significant differences in the types of interventional procedures,the adverse reactions,the proportion of intraoperative emergency management,and the anaesthesia mode existed between each other among the three groups(P<0.01). Conclusion When combined with the features of interventional therapy,the MEWS can be used to immediately and effectively evaluate the patients’ intraoperative conditions,which is helpful for predicting and reducing the occurrence of all kinds of potential risks during interventional operation. For patients with a MEWS ≥5 points,close intraoperative observation and monitoring should be strictly executed,and actively emergency measures,when needed,should be promptly carried out,which is of great clinical significance to ensure the high effect,safety and success of an interventional surgery.(J Intervent Radiol,2021,30: 84-87)