高危新生儿预警评分系统（MEWS）的研究与应用  

Application effect of early warning scoring system in condition evaluation of high risk neonates

作　　者：迟春昕[1] 谭宝琴 侯海萍[1] 林俊[1] 韦婷[1] 

机构地区：[1]南方医科大学附属小榄医院新生儿科,中山528415

出　　处：《中华现代护理杂志》2016年第23期3354-3357,共4页Chinese Journal of Modern Nursing

基　　金：广东省中山市科技计划项目（2015B1063）

摘　　要：目的探究早期预警评分系统在高危新生儿病情评估中的应用。方法选取本院高危新生儿120例为观察组，选取同期正常新生儿150例为对照组两组均使用早期预警评分系统和儿童早期预警评分系统，对比两种评分系统的结果。结果在早期预警评分系统中，观察组新生儿的呼吸、心律、呼吸窘迫和嗜睡／昏迷的频率均明显高于对照组，差异有统计学意义（P〈0．05）：但两组的体温未出现明显变化，差异无统计学意义（P〉0．05）；观察组中有105例新生儿的早期预警评分不低于2分，其中以呼吸系统类疾病、败血症、先天性心脏病和不明原因的抽搐最多；两组评分系统中的灵敏度、Youden指数、阴性预测值和阳性预测值有明显差异（P〈0．05）；两组的特异度对比不明显，差异无统计学意义（P〉0．05）：两组曲线下面积对比有明显差异（P〈0．05）。结论早期预警评分系统能有效评估高危新生儿的病情变化，准确反映出高危新生儿的病情严重程度，具有很好的灵敏性和操作性．值得在临床推广及应用。Objective To explore the application effect of early warning scoring system in condition evaluation of high risk neonates. Methods 120 high-risk neonates born in our hospital were selected as observation group and 150 normal newborns in the same period as control group. Early warning scoring system and children＇s early warning score system were conducted to both groups, and the results were compared.Results In the early warning scoring system, frequency of breath, cardiac rhythm, respiratory distress, and lethargy/coma in the observation group was significantly higher than that in the control group （P〈0.05） ; but body temperature showed no apparent change in both groups （P〉0.05） ; early warning scores of 105 neonates in the ohservation group were not lower than 2 points, with the most going to respiratory diseases, sepsis, congenital heart disease and unexplained seizures; in the two scoring systems, scores of sensitivity, Youden index, negative predictive value and positive predictive valhe were significantly different （P〈0.05） ; specificity of the two groups showed no obvious contrast （P〉 0. 05） ; area under the curve showed obvious difference between the two groups （P〈 0. 05）. Conclusions Early warning scoring system can evaluate effectively condition changes of high-risk neonates, reflect accurately their severity, and has fine flexibility and operability. It is worth promoting in clinic.

关 键 词：高危新生儿 早期预警评分系统 儿童早期预警评分系统 

分 类 号：R473.72[医药卫生—护理学]