改良早期预警评分与校正改良早期预警评分在全麻术后患者转运中的应用比较

发布时间：2018-06-18 11:30

本文选题：改良早期预警评分 + 校正改良早期预警评分　；参考：《广东医学》2015年19期

【摘要】：目的比较改良早期预警评分(MEWS)与校正MEWS在全麻术后患者转运中的应用价值。方法选取麻醉复苏室全麻术后的300例患者,术后入复苏室即刻进行MEWS和校正MEWS评分,以转入ICU或与专科病房护士交接后为观察终点。结果入住ICU患者MEWS和校正MEWS评分分布比较,差异有统计学意义(P0.01);未入住ICU患者拔气管导管前、转出复苏室时及与专科病房交接时MEWS和校正评分分布比较,差异有统计学意义(P0.01)。以入住ICU为预测指标,MEWS与校正MEWS评分ROC曲线下面积比较,差异有统计学意义(P0.01)。以转出复苏室为预测指标,MEWS与校正MEWS评分ROC曲线下面积比较,差异有统计学意义(P0.01)。以与专科病房交接后的预后预测指标,MEWS与校正MEWS评分ROC曲线下面积比较,差异有统计学意义(P0.01)。结论校正MEWS比MEWS评分更能反映全麻术后患者病情危重程度,观察数据易于获得,值得在术后患者中推广应用。
[Abstract]:Objective to compare the application value of improved early warning score (MEWS) and corrected Mews in patients after general anesthesia. Methods 300 patients after general anesthesia in anaesthetized resuscitation room were selected. MEWS and MEWS scores were corrected immediately after entering the resuscitation room, and the end point was observed after transfer to ICU or nurse in specialized ward. Results there was a significant difference in the distribution of MEWS and corrected Mews between the patients in ICU and that in patients without ICU, and there was a significant difference in the distribution of MEWS and correction scores between the patients in ICU and the patients in special wards when they were transferred from the resuscitation room to the resuscitation room before the trachea catheter was removed from the ICU, and there was a significant difference between the two groups (P 0.01). The area under ROC curve between MEWS and corrected Mews score was significantly different from that under ROC curve in ICU (P 0.01). The area under the ROC curve of MEWS was compared with that of corrected Mews. There was a significant difference between MEWS and corrected Mews under ROC curve (P 0.01). The area under the ROC curve of MEWS and the corrected Mews score were compared between the prognostic index of MEWS and that of specialist wards after the transition. The difference was statistically significant (P 0.01). Conclusion compared with the Mews score, the corrected Mews can reflect the severity of the patients after general anesthesia, and the observation data are easy to be obtained, so it is worth popularizing and applying in the patients after operation.
【作者单位】：桂林医学院附属医院外科ICU;
【基金】：广西高等学校科研项目(编号:201204LX241)
【分类号】：R473.6

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