摘要
目的探讨改良早期预警评分（MEWS）在社区获得性肺炎（CAP）急诊救治中对严重度和不良预后的评估作用。方法进行前瞻性研究，选取急诊科收治的CAP患者97例，计算患者入院时MEWS和CURB-65评分结果；记录获取评分的最短时间并使用配对t检验进行比较；根据评分结果分为低危组、中危组和高危组，Kappa法分析两种评分的一致性；根据患者预后，以死亡和存活二分类作ROC曲线评价MEWS和CURB-65评分对CAP不良预后的评估能力。结果①与CURB-65评分获取时间相比，MEWS获取时间明显缩短（P〈0．05）；②两种评分的危险度分级存在一致性（P〈0．05）；③两种评分对CAP不良预后均有评估能力（P〈0．05），但两种评分之间相比差异无统计学意义（P〉0．05）。结论MEWS与CURB-65评分同样适合在CAP急诊救治中用来评估严重度和预后，MEWS结果的获取更快捷。
Objective To explore the evaluation function of modified early warning score （MEWS） system for the severity and prognosis in the emergency patients with community acquired pneumonia（CAP）. Methods Prospective studies including 97 CAP patients hospitalized into the emergency department were performed. The MEWS and CURB - 65 score of the patients were calculated at the time of admission. The shortest obtaining time of the two scores were recorded individually and compared with paired T test. According to the scores, the patients were divided to low risk group, medium risk group and high risk group. A kappa statistics was performed to measure the consistency between the two scores. According to the prognosis of survival and death, ROC curve was made to estimate the two scores＇capacity to evaluate the prognosis of CAP. Results ①Compared to CURB -65 score, the obtaining time of MEWS was significantly shorter （ P 〈 0.05）. ②The risk classification of two scores existed the consistency, ③Both scores had capacity to evaluate the prognosis of CAP （P 〈 0. 05）. But, there was no statistical significance between the two scores （P 〉 0. 05 ）. Conclusion MEWS, as well as CURB- 65 score, is suitable to be used to assess the severity and prognosis in the emergency treatment of CAP. Obtaining the result of MEWS is more rapid.
出处
《中国急救医学》
CAS
CSCD
北大核心
2013年第3期216-219,共4页
Chinese Journal of Critical Care Medicine
