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目的:探讨改革早期预警评分系统在ICU抢救室患者病情预测中的应用效果。方法:随机选取浙江省温州市中西医结合医院2014年4月~2015年4月ICU抢救室收治的200例患者为研究对象,对其采用改革早期预警评分系统进行全面、系统的评分,对不同分数段的分布特点进行分析,比较分析高分组(评分≥5分)和低分组(评分<5分)专科普通病房入住与死亡情况,追踪记录不同评分患者的去向及转归。结果:高分组中转出ICU入住专科普通病房的比例较低分组低(P<0.05),但高分组的死亡率较低分组高(P<0.05),两组比较差异显著(P<0.05)。结论:改革早期预警评分系统在ICU抢救室患者病情预测方面效果明显。
Objective: To explore the application effect of early warning score system in the reform of patients in ICU emergency room. Methods: A total of 200 patients admitted in ICU emergency room from April 2014 to April 2015 in Wenzhou City Hospital of Integrative Medicine were randomly selected as the research object. The comprehensive and systematic scoring system was adopted for the early warning system of reform. Scores of the distribution characteristics of the analysis, comparative analysis of high-score (score ≥ 5 points) and low-score (score <5 points) general ward occupancy and death, follow-up records of different scores of patients to the destination and outcome. Results: The proportion of ICU admitted out of the intensive care unit to the general ward was lower (P <0.05), but the death rate of the high-grade group was higher (P <0.05), and the difference was significant (P <0.05) . Conclusion: The early warning system in the early stage of reform is effective in predicting the condition of ICU emergency room patients.