中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
9期
1203-1205
,共3页
改良早期预警评分(MEWS)%快速急诊内科评分(REMS)%潜在危重患者
改良早期預警評分(MEWS)%快速急診內科評分(REMS)%潛在危重患者
개량조기예경평분(MEWS)%쾌속급진내과평분(REMS)%잠재위중환자
Modified early warning scoring%Scoring potential fast emergency internal medicine%Critically ill patients
目的：探讨急诊潜在危重患者应用改良早期预警评分（MEWS）和快速急诊内科评分（REMS）对病情评估及预后分析的可行性及适用性。方法：对435例潜在危重病患者分别进行REMS评分和MEWS评分，对两种评分标准在门诊、专科普通病房（HDU）、重症监护室（ICU）、急诊中治疗的构成比进行分析，并比较两种评分标准的门诊治愈率、预后评价的灵敏度及特异度，及评分之间的关联性。结果：MEWS＞5分时病情危险性、患者被收治进ICU的概率及死亡率显著提高，与＜5相比差异有统计学意义(P＜0.05)； REMS＞11分时患者病情危险性及死亡率与＜11分者相比，差异有统计学意义(P＜0.05)。Spearman等级相关性分析显示，MEWS分值与REMS评分间呈正相关(rs=0.654，P＜0.01)。结论：REMS和MEWS两种评分系统均可对潜在危重患者病情做出正常评估，能有效识别急诊中潜在的危重患者。REMS评分诊断准确强度优于MEWS评分，但在数据获取的方便快捷性上则相反，或可联合应用MEWS评分和REMS评分。
目的：探討急診潛在危重患者應用改良早期預警評分（MEWS）和快速急診內科評分（REMS）對病情評估及預後分析的可行性及適用性。方法：對435例潛在危重病患者分彆進行REMS評分和MEWS評分，對兩種評分標準在門診、專科普通病房（HDU）、重癥鑑護室（ICU）、急診中治療的構成比進行分析，併比較兩種評分標準的門診治愈率、預後評價的靈敏度及特異度，及評分之間的關聯性。結果：MEWS＞5分時病情危險性、患者被收治進ICU的概率及死亡率顯著提高，與＜5相比差異有統計學意義(P＜0.05)； REMS＞11分時患者病情危險性及死亡率與＜11分者相比，差異有統計學意義(P＜0.05)。Spearman等級相關性分析顯示，MEWS分值與REMS評分間呈正相關(rs=0.654，P＜0.01)。結論：REMS和MEWS兩種評分繫統均可對潛在危重患者病情做齣正常評估，能有效識彆急診中潛在的危重患者。REMS評分診斷準確彊度優于MEWS評分，但在數據穫取的方便快捷性上則相反，或可聯閤應用MEWS評分和REMS評分。
목적：탐토급진잠재위중환자응용개량조기예경평분（MEWS）화쾌속급진내과평분（REMS）대병정평고급예후분석적가행성급괄용성。방법：대435례잠재위중병환자분별진행REMS평분화MEWS평분，대량충평분표준재문진、전과보통병방（HDU）、중증감호실（ICU）、급진중치료적구성비진행분석，병비교량충평분표준적문진치유솔、예후평개적령민도급특이도，급평분지간적관련성。결과：MEWS＞5분시병정위험성、환자피수치진ICU적개솔급사망솔현저제고，여＜5상비차이유통계학의의(P＜0.05)； REMS＞11분시환자병정위험성급사망솔여＜11분자상비，차이유통계학의의(P＜0.05)。Spearman등급상관성분석현시，MEWS분치여REMS평분간정정상관(rs=0.654，P＜0.01)。결론：REMS화MEWS량충평분계통균가대잠재위중환자병정주출정상평고，능유효식별급진중잠재적위중환자。REMS평분진단준학강도우우MEWS평분，단재수거획취적방편쾌첩성상칙상반，혹가연합응용MEWS평분화REMS평분。
[ABSTRACT]Objective: To explore the potential of critically ill patients in emergency application of modified early warning score (MEWS) and fast emergency internal medicine score (REMS) and the applicability of the feasibility analysis of severity and prognosis.Methods:435 cases of potential in critically ill patients were evaluated with REMS score and MEWS score,two kinds of criteria in the outpatient, specialist ward (HDU),intensive care unit (ICU), emergency treatment than the composition analysis, and comparison of two scoring standard clinic cure rate, sensitivity and prognosis evaluation the specificity, relevance and score between.Results:MEWS>5 disease risk,probability and mortality were admitted into the ICU significantly increased,compared with <5,the difference was statistically significant (P<0.05);REMS>11 time-sharing disease risk and mortality and <11 were compared, the difference was statistically significant (P<0.05).Spearman correlation analysis showed that, MEWS score and REMS score were positively correlated (rs=0.654,P<0.01).Conclusion:REMS and MEWS two score system can make normal assessment of potential critically ill patients in critically ill patients,can effectively identify the potential emergency.The REMS score accurate diagnosis of strength is superior to MEWS score, but in the data acquisition of convenience is the opposite,or can be combined with MEWS score and REMS score.
