改良早期预警评分对热射病患者病情评估和死亡预测的价值

摘要

目的：探讨改良早期预警评分（ MEWS）对热射病（ HS）患者病情评估和死亡预测的价值。方法进行前瞻性、观察性研究，选取我院急诊接诊的 HS 患者45例，对患者进行MEWS和急性生理学与慢性健康状况评分Ⅱ（ APACHEⅡ），记录评分结果及获取结果所需时间。比较两种评分结果获取时间，分析两种评分结果的相关性，ROC曲线观察两种评分与患者预后的关系。结果 MEWS评分结果获取时间（TM）少于APACHEⅡ评分（TA）（P＜0．05）；MEWS评分与APACHEⅡ评分呈正相关，Pearson相关系数为0．854（P＜0．05）；两种评分对HS患者的不良预后均有评估能力（P＜0．05），但两种评分比较差异无统计学意义（P＞0．05）。结论 MEWS评分对HS患者病情评估和死亡预测的价值与APACHEⅡ评分相似，但MEWS评分方法简单，获取时间短，便于急诊使用。%Objective To explore the significance of modified early warning score (MEWS) in condition assessment and death prognosis of heat stroke ( HS) patients.Methods Prospective and observational studies , including 45 HS patients treated by the emergency doctors , were performed .The MEWS and APACHEⅡscore of the HS patients were calculated .The obtaining time of the two scores was recorded individually and compared .Correlation analysis and ROC curve analysis of the two scores were performed. Results Compared to APACHE Ⅱ score, the obtaining time of MEWS was significantly shortened (P<0.05).The two scores were positively correlated (P <0.05); Pearson correlation coefficient was 0.854.Both of the two scores had capacity to evaluate the death prognosis of HS patients (P<0.05).But, there was no statistical significance between the two scores (P>0.05). Conclusion Significance of MEWS in condition assessment and death prognosis of HS patients is similar to APACHEⅡscore, but MEWS is facilitated to be used in department of emergency because of its simpleness and short obtaining time .