冯晓昉
FENG Xiaofang

• 1:首都医科大学附属北京天坛医院

摘要(Abstract)：

目的:探讨改良早期预警评分(MEWS)对急诊胸痛患者预检分诊的价值。方法:200例急诊胸痛患者均分为观察组和对照组,观察组采用MEWS评分系统进行预检分诊,对照组采用急性生理与慢性健康(APACHE-Ⅱ)评分系统进行预检分诊;比较两种预检分诊法对S-T段抬高型心肌梗死(STEMI)、主动脉夹层、非S-T段抬高型心肌梗死(NSTEAM)诊断准确率,比较两组患者预检分诊得分、疼痛数字(NRS)评分、满意度得分及候诊时间。结果:MEWS评分系统对STEMI、主动脉夹层、NSTEAM诊断准确率均高于APACHE-Ⅱ)评分系统(P<0.05),观察组NRS疼痛评分低于对照组、预检分诊评分得分高于对照组、满意度评分高于对照组及候诊时间少于对照组(P<0.05)。结论:急诊胸痛患者应用MEWS评分系统分诊,可提升诊断的准确率,缩短候诊时间及减轻患者疼痛,并得到患者认可。
Objective: To evaluate the guiding value in trial diagnosis of patients with Chest Pain in emergency center using modified early warning score(MEWS).Methods:Two hundred patients with chest pain in emergency center were enrolled and randomly divided into observation group and control group.MEWS scoring system was used for observation group and acute physiology and chronic health(APACHE-II) scoring system for control group.The two groups were compared in terms of accuracy rates in the diagnosis of ST-segment elevation myocardial infarction(STEMI),aortic dissection,non-ST-segment elevation myocardial infarction(NSTEAM).We also compared pain NRS score,patient satisfaction score and waiting time.Results:The diagnostic accuracy of STEMI,aortic dissection and non-STEMI in the observation group was higher than those in the control group(P<0.05).The NRS pain score of the observation group was lower than that of the control group,while the average score was higher than that of the control group,the waiting time was less than that of the control group,and the satisfaction score was higher than that of the control group(P<0.05).Conclusion:The application of MEWS scoring system in clinical nursing of patients with chest pain in emergency center can improve the accuracy of diagnosis,shorten waiting time,alleviate patients′ pain and gain wide recognition of patients.

关键词(KeyWords)： 改良早期预警评分;急诊胸痛;预检分诊效果;疼痛NRS评分
modified early warning score;emergency chest pain;pre-diagnosis triage effect;pain NRS score

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 冯晓昉
FENG Xiaofang

DOI: 10.19367/j.cnki.1000-2707.2019.08.024

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