体温修正休克指数与早期预警评分评估急诊内科患者病情严重程度相关性的研究  

Relevant dinieal research of adjusted shock index and modified early warning score to evaluate the severity of emergency medical illness

作　　者：刘元税[1] 欧阳艳红[1] 张蕾蕾[1] 宋维[1] 曾艳[1] 

机构地区：[1]海南省人民医院急诊科,海南海口570311

出　　处：《中国急救医学》2015年第11期1022-1024,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的研究体温修正休克指数（ASI）与早期预警评分（MEWS）在评价急诊内科患者病情严重程度方面的相关性。方法选取2013-08-01至2013-11-31期间就诊我院急诊内科患者10986例进行ASI计算及MEWS评分，对比评估患者病情严重程度及其转归。结果10986例患者中急诊治疗好转离院3769例（34．307％）；急诊留观4150例（37．775％）；普通病房住院2359例（21．473％）；重症病房住院694例（6．317％）；急诊抢救室死亡14例（0．128％）。MEWS评分与患者转归之间存在相关性（P〈0．01），Soean相相关系数为0．425。AS1与患者转归之间存在相关性（P〈0．01），Spearman相关系数为0．321。ASI与MEWS评分之间存在正相关（P〈0．01），Spearman相关系数为0．532。ASI在MEWS评分〈5、5～9及〉9三个分值间比较差异均有统计学意义（P〈0．05）。ASI为0．69±0．02、0．92±0．07及1．06±0．10三个层次与本研究患者病情转归呈显著正相关。结论ASI与MEWS评分存在正相关，二者均有助于医护人员快速评估患者病情严重程度，尤其ASI，更为简单、易记、快捷，值得深入研究其在急诊科的应用价值。Objective To investigate the relevancy between adjusted shock index （ASI） and modified early warning score （MEWS） while they are assessing the risk of emergency medical illness. Methods 10 986 cases of emergency medical patients from August 1, 2013 to November 1, 2013 in our emergency department were selected. To assess the risk and outcome of emergency medical illness by ASI compared with by MEWS. Results A total of 3769 patients were cured and left hospital （34. 307% ）, 4150 needed emergency observation （37. 775% ） , 2359 transferred to wards for treatment （21.473%）, 694 to ICU （6.317%）, 14 died in emergency rooms （0. 128% ）. There was correlation between MEWS scores and outcomes of cases with 0. 425 of Spearman ＇s correlation coefficient （P 〈 0. 01 ）. ASI scores had correlation with outcomes of cases with 0. 321 of Spearman ＇s correlation coefficient（ P 〈 0.01 ）. ASI scores and MEWS scores were correlative statistically with 0. 532 of Spearman＇ correlation coefficient, P 〈 0.01. ASI scores were statistically different among the MEWS score 〈 5, 5 ±9, 〉 9 and so on three levels groups. ASI as 0.69 ± 0.02, 0.92 ± 0.07, 1.06 ± 0.10 and so on three levels had significant positive correlation with the outcomes of eases. Conclusion There was a positive correlation between ASI and MEWS score which can both help medical personnel to assess patients acuity levels rapidly, especially ASI, as more simple to be remembered, easier to be worked out, more shortcut to be used, is worth further studying in the emergency department.

关 键 词：病情评估 修正休克指数(ASI) 休克指数 早期预警评分(MEWS) 急诊分诊 

分 类 号：R459.7[医药卫生—急诊医学]