CAJ | 학술논문

目的：比较改良早期预警评分（ MEWS ）与校正改良早期预警评分（ MEWS ）预测急性左心衰预后结局的准确性，为急性左心衰在急诊救治中寻找一种有效简易的病情评估方法。方法：选择2012年3月～2013年12月我院收治的确诊急性左心衰患者100例作为研究对象，在我院接诊时同时进行MEWS评分和校正MEWS评分；观察并比较2种评分系统对患者预后结局的预测准确性差异。结果：MEWS评分和校正MEWS评分的符合率分别为69．0％和92．0％，差异显著。结论：校正MEWS评分较MEWS评分更能够反映急性左心衰患者的病情危重程度，而且操作简便、预测精确，建议在临床急诊中推广。
목적：비교개량조기예경평분（ MEWS ）여교정개량조기예경평분（ MEWS ）예측급성좌심쇠예후결국적준학성，위급성좌심쇠재급진구치중심조일충유효간역적병정평고방법。방법：선택2012년3월～2013년12월아원수치적학진급성좌심쇠환자100례작위연구대상，재아원접진시동시진행MEWS평분화교정MEWS평분；관찰병비교2충평분계통대환자예후결국적예측준학성차이。결과：MEWS평분화교정MEWS평분적부합솔분별위69．0％화92．0％，차이현저。결론：교정MEWS평분교MEWS평분경능구반영급성좌심쇠환자적병정위중정도，이차조작간편、예측정학，건의재림상급진중추엄。
Objective To compare the accuracy of modified early warning score and correction modified early warning score predicting prognostic outcome of acute left heart failure , for providing an effective severity evaluation methodtotreatacuteleftheartfailure.Methods 100caseswithacuteleftheartfailuretreatedinourhospitalfrom March 2012 to December 2013 were selected as the research objects , and received MEWS score and correction MEWS during treatment .The difference for accuracy of two scoring systems predicting the prognostic outcome was observed and compared .Results The accuracy rate of MEWS and correction MEWS was 69.0% and 92.0%, which had evident difference .Conclusion Compared with MEWS , correction MEWS can reflect the severity of patients with acute left heart failure , and has easy operation and accurate prediction , which is worthy of promotion in clinical emergency .